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IVAN ALEXANDRE DE KOUCHKOVSKY
NPI 1245692839
Internal Medicine - Medical Oncology in San Francisco, CA

Active since March 23, 2016PECOS EnrolledAccepts Medicare Assignment
74.46/100
CMS Quality Rating
505 PARNASSUS AVE, INTERNAL MEDICINE RESIDENCY PROGRAM, SAN FRANCISCO, CA 94143(415) 476-1529 Get Directions Write a Review

NPPES record last updated: March 9, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 9, 2023, Mar 23, 2016 (2 updates tracked since 2016).

About Ivan Alexandre De Kouchkovsky NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IVAN ALEXANDRE DE KOUCHKOVSKY (NPI 1245692839) is an individual medical oncology provider in San Francisco, California, licensed in California (A152456) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS and is a graduate of New York University School Of Medicine (2016).

NPPES Registry Identity

NPI1245692839
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameIVAN ALEXANDRE DE KOUCHKOVSKY
Location Address505 PARNASSUS AVE, INTERNAL MEDICINE RESIDENCY PROGRAMSan Francisco, CA 94143-2204
Mailing Address505 Parnassus Ave, Internal Medicine Residency ProgramSan Francisco, CA 94143-2204 · (415) 476-1529
Phone(415) 476-1529
Sole ProprietorYes
Medical School CMSNew York University School Of MedicineGraduated 2016
Enumeration DateMarch 23, 2016
Last NPPES UpdateMarch 9, 20232 updates tracked since enumeration
NPPES CertifiedMarch 9, 2023
✔ NPI 1245692839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License✔ Licensed in CA · A152456
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
505 PARNASSUS AVE, San Francisco, CA 94143
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ivan Alexandre De Kouchkovsky is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759786593
PECOS Enrollment IDI20220831002801
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
326 services114 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
53 services53 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
42 services30 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
29 services21 patients
Online digital evaluation and management service for an established patient for up to 7 days, total time 5-10 minutes 99421
This service involves a week-long digital assessment of your health status. It's conducted online by your healthcare provider, focusing on managing your existing health condition. The process takes 5-10 minutes of your time daily, ensuring optimal health management.
26 services19 patients
Online digital evaluation and management service for an established patient for up to 7 days, total time 11-20 minutes 99422
This is a digital health service for existing patients. Over a week, your healthcare provider will assess and manage your health concerns online. The total time spent communicating will be between 11-20 minutes. This service offers convenience and continuous care.
24 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94143 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$202.35 typical visit price
range $69.00 – $202.35
Typical copayment $50.58 (range $17.25 – $50.58)
Most-billed visit code 99205
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability76
Improvement Activities40
Cost46.68

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CATHERINE RAMSDELL NNP
Nurse Practitioner (Neonatal)
505 PARNASSUS AVE
SAN FRANCISCO, CA 94143
San Francisco County (415) 353-1000
DR. CLAUDIO ANDRES BRAVO CARRILLO M.D.
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
505 PARNASSUS AVE
SAN FRANCISCO, CA 94143
San Francisco County (415) 502-4243
MAURICIO JALIFE BUCAY M.D
Hospitalist
505 PARNASSUS AVE
SAN FRANCISCO, CA 94143
San Francisco County (415) 750-4994
EMMA B SHAK M.D.
Student in an Organized Health Care Education/Training Program
505 PARNASSUS AVE
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-1528
DR. ADRIANA A.T. MARTIN M.D., PH.D.
Internal Medicine
505 PARNASSUS AVE
SAN FRANCISCO, CA 94143
San Francisco County (415) 514-7288
WILLIAM JAMES DEARDORFF
Internal Medicine (Geriatric Medicine)
505 PARNASSUS AVE, 15 LONG
SAN FRANCISCO, CA 94143
San Francisco County (415) 406-1417
KEERTHANA REDDY BANALA
Student in an Organized Health Care Education/Training Program
505 PARNASSUS AVE
SAN FRANCISCO, CA 94143
San Francisco County (415) 514-7288
ROBERT CHRISTIAN WENZ
Nurse Anesthetist, Certified Registered
505 PARNASSUS AVE
SAN FRANCISCO, CA 94143
San Francisco County (415) 353-8054

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ivan De Kouchkovsky's NPI number?

The NPI number for Ivan De Kouchkovsky is 1245692839. It was assigned to this individual provider in the NPPES registry on March 23, 2016.

Where is Ivan De Kouchkovsky located?

Ivan De Kouchkovsky practices at 505 Parnassus Ave Internal Medicine Residency Program, San Francisco, CA 94143. The listed phone number is (415) 476-1529.

What is Ivan De Kouchkovsky's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Ivan De Kouchkovsky enrolled in Medicare?

Yes. Ivan De Kouchkovsky is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Ivan De Kouchkovsky was last updated on March 9, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.