JONATHAN A. POLIKOFF (MD) – Medical Oncology Physician, NPI 1497822332

JONATHAN A. POLIKOFF (MD) is a healthcare provider. based in San diego, California. specializing in INTERNAL MEDICINE, HEMATOLOGY, HEMATOLOGY/ONCOLOGY. They hold the professional credentials MD. They hold a License No. G43519 (CA). The NPI Number for JONATHAN A. POLIKOFF (MD) is 1497822332

Main info

Male
49 Years Of Experience
Accepts Medicare Assignment
Name
JONATHAN A. POLIKOFF (MD)
NPI
1497822332
Phone
(619) 528-5000
Address
4647 Zion Ave
Enumeration Date
29 November 2006
Last Update Date
22 November 2021

Doctor Profile

Medical School Name
ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Secondary Phone
8183752000
Graduation Year
1977 (49 years ago)
PAC ID
4183748973
Group Practice PAC ID
6002729175
Professional Enrollment ID
I20100831000650
Address ID
CA914025423PA13652STXX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

21,558 INTERNAL MEDICINE in CA

Provider Addresses for JONATHAN A. POLIKOFF (MD)

  • 4647 Zion Ave

    San Diego, CA 921202507

    Phone: (619) 528-5000

    Type: Location

  • 505 NE 87th Ave Ste 320

    Vancouver, WA 986641965

    Phone: (360) 514-2550

    Fax: (360) 514-1927

    Type: Location

  • 1615 DELAWARE ST

    LONGVIEW, WA 986322367

    Phone: (360) 414-7878

    Fax: (360) 414-7876

    Type: Location

  • Kaiser Permanente Zion Medical Center, 4647, Zion Avenue, Grantville, Allied Gardens, San Diego, San Diego County, California, 92120, United States

    SAN DIEGO, CA 921202507

    Phone: (619) 528-5000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $1,014.

Total Amount is formed as General ($1,014) + Research ($0) + Ownership ($0) = $1,014.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Janssen Biotech, Inc. ($387).

Total Amount

$1,014

General + Research + Ownership

Payments

8

Total payment records

General Amount

$1,014

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-08-31

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100831000650IInternal MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92120)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002729175View full group profile
NameSpecialtyState
U R O L O G YOH
Nurse PractitionerCA
Internal MedicineCA
Internal MedicineCA
Physician AssistantCA
N E U R O L O G YCA
Internal MedicineCA
O B S T E T R I C S/ G Y N E C O L O G YCA
Family Practice, Sports MedicineCA
Internal MedicineNY

Reviews

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Frequently asked questions

Is JONATHAN A. POLIKOFF (MD) listed with a National Provider Identifier?
Yes — JONATHAN A. POLIKOFF (MD) has NPI 1497822332 on file in the registry.
Is there an active status for JONATHAN A. POLIKOFF (MD)?
For scheduling context, JONATHAN A. POLIKOFF (MD) is shown as active in the registry.
What clinical focus is listed for JONATHAN A. POLIKOFF (MD)?
At a glance, JONATHAN A. POLIKOFF (MD) is tied to Medical Oncology Physician. Clinical services aligned with this taxonomy classification.
Where in California is JONATHAN A. POLIKOFF (MD) registered?
Use San Diego, California as the headline location for JONATHAN A. POLIKOFF (MD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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