KORYAKOS KORYAKOS JR.
NPI 1801737267
Student in an Organized Health Care Education/Training Program in Phoenix, AZ

Active since April 01, 2026PECOS Enrolled
2601 E ROOSEVELT ST, PHOENIX, AZ 85008(602) 344-5011 Get Directions Write a Review

NPPES record last updated: April 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Koryakos Koryakos Jr. NPPES

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

KORYAKOS KORYAKOS JR. (NPI 1801737267) is an individual student in an organized health care education/training program in Phoenix, Arizona and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS and maintains a secondary practice location in Phoenix.

NPPES Registry Identity

NPI1801737267
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKORYAKOS KORYAKOS JR.
Location Address2601 E ROOSEVELT STPhoenix, AZ 85008-4973
Mailing Address25388 N 76th DrPeoria, AZ 85383-2328 · (702) 370-8977
Sole ProprietorNo
Enumeration DateApril 1, 2026
NPPES CertifiedApril 1, 2026
NPI 1801737267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2601 E ROOSEVELT ST, Phoenix, AZ 85008

Other Names 1

Other Name (5)Kory Koryakos

Secondary Practice Location 1

Location 133 W Tamarisk StPhoenix, AZ 85041-2422 · Phone (602) 344-6600

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Koryakos Koryakos Jr. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Emergency Medicine (Emergency Medical Services)
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Internal Medicine
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
General Acute Care Hospital
2601 E ROOSEVELT ST, DEPARTMENT OF MEDICINE
PHOENIX, AZ 85008
Surgery (Trauma Surgery)
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Psychiatry & Neurology (Psychiatry)
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Plastic Surgery
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Psychiatry & Neurology (Psychiatry)
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Internal Medicine
2601 E ROOSEVELT ST
PHOENIX, AZ 85008

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 Koryakos Koryakos's NPI number?

The NPI number for Koryakos Koryakos is 1801737267. It was assigned to this individual provider in the NPPES registry on April 1, 2026. The provider is also known as Kory Koryakos.

Where is Koryakos Koryakos located?

Koryakos Koryakos practices at 2601 E Roosevelt St, Phoenix, AZ 85008. The listed phone number is (602) 344-5011.

What is Koryakos Koryakos's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Koryakos Koryakos enrolled in Medicare?

Yes. Koryakos Koryakos is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Koryakos Koryakos was last updated on April 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.