JONATHAN A. POLIKOFF MD
NPI 1497822332
Internal Medicine - Medical Oncology in Longview, WA

Q: What is Jonathan Polikoff's NPI number?

The NPI number for Jonathan Polikoff is 1497822332. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Q: What is Jonathan Polikoff's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jonathan Polikoff was last updated on November 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 29, 2006PECOS EnrolledAccepts Medicare Assignment

1615 DELAWARE ST, LONGVIEW, WA 98632(360) 414-7878(360) 414-7876 Get Directions Write a Review

NPPES record last updated: November 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 22, 2021, Jan 25, 2021 (2 updates tracked since 2021).

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About Jonathan A. Polikoff Md NPPES

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

JONATHAN A. POLIKOFF MD (NPI 1497822332) is an individual medical oncology provider in Longview, Washington, licensed in Washington (MD61107981) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Albany Medical College Of Union University (1977).

NPPES Registry Identity

NPI1497822332

Entity TypeIndividualMale

Primary Taxonomy207RX0202X

Provider Legal NameJONATHAN A. POLIKOFFCredential: MD

Location Address1615 DELAWARE STLongview, WA 98632-2367

Mailing Address4647 Zion AveSan Diego, CA 92120-2507 · (619) 528-5000

Phone(360) 414-7878

Fax(360) 414-7876

Sole ProprietorNo

Medical School CMSAlbany Medical College Of Union UniversityGraduated 1977

Enumeration DateNovember 29, 2006

Last NPPES UpdateNovember 22, 20212 updates tracked since enumeration

NPPES CertifiedJanuary 25, 2021

✔ NPI 1497822332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RX0202X

License✔ Licensed in WA · MD61107981

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.

Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License G43519 (CA)

1615 DELAWARE ST, Longview, WA 98632

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Secondary Practice Locations 2

Location 1505 NE 87th Ave Ste 320Vancouver, WA 98664-1965 · Phone (360) 514-2550 · Fax (360) 514-1927

Location 24647 Zion AveSan Diego, CA 92120-2507 · Phone (619) 528-5000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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

Jonathan A. Polikoff Md 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 ID4183748973

PECOS Enrollment IDI20100831000650

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98632 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

$172.80 typical visit price

range $57.27 – $172.80

Typical copayment $43.20 (range $14.31 – $43.20)

Most-billed visit code 99205

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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.

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.

CHOONG R KIM M.D.

Radiology (Radiation Oncology)