Individual provider Active NPI

Anish Koka, MD

  • Cardiovascular Disease Physician
  • Philadelphia, PA
National Provider Identifier
1740236124
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD428342 Issued in PA
Practice address
125 S. 9TH Street Sheridan BLD
Suite 105
Philadelphia, PA 19107-5752
Phone
(215) 733-0702
Fax
(215) 987-5891
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD428342 PA Primary

Addresses

Primary practice location

125 S. 9TH Street Sheridan BLD
Suite 105
Philadelphia, PA 19107-5752

Mailing address

125 S. 9TH Street Sheridan BLD
Suite 105
Philadelphia, PA 19107-5752
Phone (215) 733-0702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060920000016 PA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3274538566 Reassigns benefits to 1 organization
I20200824000136 NJ Practitioner - Cardiovascular Disease (Cardiology) 3274538566 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Temple University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialty Medconsultants LLCGroup PAC ID 3072736677, 20 clinicians
Koka Cardiology PCGroup PAC ID 7517102262, 2 clinicians
Cardiovascular Associates of the Delaware Valley,P aGroup PAC ID 9032001284, 94 clinicians

Practice addresses (Care Compare)

1172 Beacon Ave
Suite B
Manahawkin, NJ 08050-2418
Phone (609) 350-6780

125 S 9TH St
Sheridan BLD Suite 1005
Philadelphia, PA 19107-5125
Phone (215) 543-7002

210 W Atlantic Ave
Haddon Heights, NJ 08035-1715
Phone (856) 546-3003

Hospital & facility affiliations

  • Roxborough Memorial Hospital Hospital, Philadelphia, PA, CCN 390304
  • Wills Eye Hospital Hospital, Philadelphia, PA, CCN 390331
  • Cooper University Hospital Hospital, Camden, NJ, CCN 310014
  • Thomas Jefferson University Hospital Hospital, Philadelphia, PA, CCN 390174
  • Jefferson Health- Northeast Hospital, Philadelphia, PA, CCN 390115

Merit-based Incentive Payment System (MIPS)

Final score
83.47 of 100Reported as individual
Quality
100
Promoting interoperability
88
Improvement activities
40
Cost
51.38

Merit-based Incentive Payment System (MIPS)

Final score
90.34 of 100Reported as group
Quality
78.48
Promoting interoperability
100
Improvement activities
40
Cost
78.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Koka Cardiology PC CurrentSince Mar 1, 2013 Accepting new patients
Specialty Medconsultants LLC CurrentSince Sep 8, 2022 Accepting new patients
Cardiovascular Associates of the Delaware Valley,P a Cardiovascular Disease CurrentSince Aug 1, 2020 Accepting new patients
Koka Cardiology PC Past Accepting new patients
David S. Poll, M.D., PC Past Accepting new patients

Locations

415 Chris Gaupp Dr
Ste D
Galloway, NJ 08205
Phone (609) 404-0056

120 White Horse Pike
Ste 112
Haddon Hgts, NJ 08035
Phone 85654705392215

210 W Atlantic Ave
Haddon Hts, NJ 08035
Phone (856) 546-3003

1172 Beacon Ave
#B
Manahawkin, NJ 08050
Phone (609) 350-6780

999 Route 73 N
Ste 205
Marlton, NJ 08053
Phone (856) 795-2227

6725 Ventnor Ave
Ste C
Ventnor City, NJ 08406
Phone (609) 350-6780

216 Mall Blvd
Ste 201
King of Prussia, PA 19406
Phone (215) 561-0809

2701 DeKalb Pike
Ste 203
Norristown, PA 19401
Phone (610) 534-6270

125 S 9th St
Ste 50
Philadelphia, PA 19107
Phone (215) 543-7002

125 S 9th St
Ste 501
Philadelphia, PA 19107
Phone (215) 543-7002

125 S 9th St
Ste 105
Philadelphia, PA 19107
Phone (215) 733-0702

125 S 9th St
Philadelphia, PA 19107
Phone (215) 592-4500

125 S 9th St
Ste 1005
Philadelphia, PA 19107
Phone (215) 543-7002

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361318400000",
    "number": "1740236124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S. 9TH STREET SHERIDAN BLD",
            "address_2": "SUITE 105",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075752",
            "telephone_number": "215-733-0702",
            "fax_number": "215-987-5891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S. 9TH STREET SHERIDAN BLD",
            "address_2": "SUITE 105",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075752",
            "telephone_number": "215-733-0702",
            "fax_number": "215-987-5891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOKA",
        "first_name": "ANISH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2013-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD428342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.