PRATHEEK SIMON KAKKASSERIL M.D. NPI 1609195643

NPI Information

  • NPI: 1609195643
  • Provider Name: PRATHEEK SIMON KAKKASSERIL, M.D.
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1001 BELMONT AVE
    YOUNGSTOWN, OH
    ZIP 44504
  • Phone: (330) 747-1106

Map and Directions

Get Directions

NPI Details

Pratheek Simon Kakkasseril, M.D. is a vascular surgery surgery in Youngstown, OH with 21 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Pratheek Simon Kakkasseril, M.D. NPI is 1609195643. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:2005

The provider's business location address is:

1001 BELMONT AVE
YOUNGSTOWN, OH
ZIP 44504-003
Phone: (330) 747-1106
Fax: (330) 747-0491

The NPI 1609195643 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Management of oxygen chamber therapy (HCPCS:99183)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Removal of skin and tissue, each additional 20.0 sq cm or less (HCPCS:11045)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Removal of tissue from wound, 20.0 sq cm or less (HCPCS:97597)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Review by radiologist of arm or leg artery image (HCPCS:75710)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Fluoroscopic guidance for insertion or removal of central vein access device (HCPCS:77001)
  • Balloon dilation of artery of leg, initial vessel (HCPCS:37228)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Insertion of tunneled central venous tube for infusion (5 years or older) (HCPCS:36558)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Complete ultrasound study of arm and leg arteries (HCPCS:93923)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Varicose vein removal (HCPCS:NAN08)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 5/28/2010 and was last updated on 2/25/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0129XSurgeryVascular Surgery35.120203OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10078791MEDICAIDOHIO
2H152570OTHEROHIOMEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.