Polyxene Gazetas Kokinos


Address: 2255 S Bascom Ave, Suite 200, Campbell, CA 95008-7800
Phone: 4083763626

Polyxene Gazetas Kokinos (NPI# 1679671259, PAC ID# 5991728198) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is VASCULAR SURGERY.

Physician Overview

Nation Provider ID (NPI) 1679671259
PAC ID by PECOS 5991728198
Professional Enrollment ID I20060112000913
Full Name Polyxene Gazetas Kokinos
Address 2255 S Bascom Ave
Suite 200
Campbell
CA 95008-7800
Phone Number 4083763626
Gender F
Credential MD
Medical School COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduation Year 1987
Primary Specialty VASCULAR SURGERY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050038 SANTA CLARA VALLEY MEDICAL CENTER
050380 GOOD SAMARITAN HOSPITAL
050296 HAZEL HAWKINS MEMORIAL HOSPITAL

Other Locations

Address Phone Organization
2255 S Bascom Ave, Suite 200, Campbell, CA 95008-7800 4083763626

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
MIPS_EC_238_2+ Use of High-Risk Medications in the Elderly (100%: worst, 0% best) 1%
MIPS_EC_238_overall Use of High-Risk Medications in the Elderly (100%: worst, 0% best) 1%

Organization Information

Office Location

Street Address 2255 S BASCOM AVE
SUITE 200
City CAMPBELL
State CA
Zip 95008-7800

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Allison Lorraine Keneally Physical Therapy Deryke and Associates, Inc 201 E Hamilton Ave, Campbell, CA 95008-0206
Sarah E Christiansen Physical Therapy Deryke and Associates, Inc 201 E Hamilton Ave, Campbell, CA 95008-0206
Michelle Regoli Occupational Therapy Deryke and Associates, Inc 201 E Hamilton Ave, Campbell, CA 95008-0206
Jennifer Jones Physical Therapy Deryke and Associates, Inc 201 E Hamilton Ave, Campbell, CA 95008-0206
Kanchan Anjaneya Thakar Physical Therapy Deryke and Associates, Inc 201 E Hamilton Ave, Campbell, CA 95008-0206
Albert Tailon Chang Optometry Peter W Ross Od and Larry K Wan Od Inc 338 E Hamilton Ave, Campbell, CA 95008-0207
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Competitor

Search similar physicians

City CAMPBELL
Zip Code 95008
Specialty VASCULAR SURGERY
City + Specialty CAMPBELL + VASCULAR SURGERY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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