Active NPI
Kyle Pentti Kokko, M.D., PH.D.
- Orthopaedic Hand Surgery Physician
- Summerville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- License
- 28914
- Practice address
- 202 Nexton Square Drive
Summerville, SC 29486 - Phone
- (854) 429-4263
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | LL28914 | SC | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 264927-1 | NY | |
| Orthopaedic Hand Surgery Physician | 207XS0106X | 28914 | SC | Primary |
Addresses
Primary practice location
202 Nexton Square Drive
Summerville, SC 29486
Mailing address
202 Nexton Square Drive
Summerville, SC 29486
Phone (854) 429-4263
Other practice location 1
851 Leonard Fulghum Dr Ste 101
MT Pleasant, SC 29464-3793
Phone (843) 971-9350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hand Surgery
- Education
- Medical University of South Carolina College of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
880 Island Park Dr
Unit 230
Daniel Island, SC 29492-2902
Phone (843) 380-9330
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.63 of 100
- Quality
- 80.11
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 68.65
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL28914 | SC | MD | Orthopaedic Surgery Physician |
| 264927-1 | NY | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Medical Associates of the Medical University of South Carol | Current | Accepting new patients | |
| East Cooper Physician Group LLC | Current | Accepting new patients | |
| University Medical Associates of the Medical University of South Carol | Current | Accepting new patients | |
| East Cooper Physician Group LLC | Current | Accepting new patients | |
| University Medical Associates of the Medical University of South Carol | Current | Accepting new patients |
Locations
171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123
880 Island Park Dr
Unit 230
Daniel Island, SC 29492
Phone (843) 380-9330
1625 Hospital Dr
Ste 350
Mt Pleasant, SC 29464
Phone (843) 856-3262
851 Leonard Fulghum Dr
Ste 101
Mt Pleasant, SC 29464
Phone (843) 884-2133
3400 Salterbeck St
Ste 100B
Mt Pleasant, SC 29466
Phone (843) 856-3262
202 Nexton Square Dr
Summerville, SC 29486
Phone (843) 420-9001
Interoperability endpoints
- kyle.kokko.1@30548.direct.athenahealth.com
- kkokko7105@direct.musc.edu
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Daniel Island, SC
- NPI 1861253981
-
dba MUSC Physicians
- Multi-Specialty Clinic/Center
- Charleston, SC
- NPI 1043241110
-
dba Novant Health Diagnostic Imaging at East Cooper
- Body Imaging Physician
- Mount Pleasant, SC
- NPI 1699641571
-
dba MUSC Physicians
- Internal Medicine Physician
- Charleston, SC
- NPI 1750432704
-
dba MUSC PHysicians
- Family Medicine Physician
- Charleston, SC
- NPI 1982678496
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Novant Health East Cooper Medical Center
- General Acute Care Hospital
- Mount Pleasant, SC
- NPI 1841069044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576713600000",
"number": "1902984990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 NEXTON SQUARE DRIVE",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "29486",
"telephone_number": "854-429-4263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 NEXTON SQUARE DRIVE",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "29486",
"telephone_number": "854-429-4263"
}
],
"practiceLocations": [
{
"address_1": "851 Leonard Fulghum Dr Ste 101",
"address_purpose": "LOCATION",
"city": "MT Pleasant",
"state": "SC",
"postal_code": "294643793",
"country_code": "US",
"telephone_number": "843-971-9350",
"fax_number": "843-971-9351",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOKKO",
"first_name": "KYLE",
"middle_name": "PENTTI",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2019-12-19",
"certification_date": "2019-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "SC",
"license": "LL28914",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": "264927-1",
"primary": false
},
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "SC",
"license": "28914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.