ANDREI N DOKUKIN (MD) – Pain Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1770715575

ANDREI N DOKUKIN (MD) is a healthcare provider. based in Long beach, California. specializing in PHYSICAL MEDICINE AND REHABILITATION, ADDICTION MEDICINE, PAIN MANAGEMENT. They hold the professional credentials MD. They hold a License No. A110631 (CA). The NPI Number for ANDREI N DOKUKIN (MD) is 1770715575

Main info

Male
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
ANDREI N DOKUKIN (MD)
NPI
1770715575
Phone
(562) 633-1765
Address
3939 ATLANTIC AVE STE 223
Enumeration Date
13 August 2009
Last Update Date
24 March 2020

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Secondary Phone
9494244724
Graduation Year
2006 (20 years ago)
PAC ID
0840323291
Group Practice PAC ID
2961651617
Professional Enrollment ID
I20100805000302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:16State licenses:1Digital endpointsOther names

1,149 PHYSICAL MEDICINE AND REHABILITATION in CA

Provider Addresses for ANDREI N DOKUKIN (MD)

  • 3939 ATLANTIC AVE STE 223

    LONG BEACH, CA 908073535

    Phone: (562) 633-1765

    Fax: (949) 502-8887

    Type: Location

  • West Chapman Avenue, Downtown Fullerton, Fullerton, Orange County, California, 92836, United States

    ORANGE, CA 928682738

    Phone: (562) 633-1765

    Fax: (949) 502-8887

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 42 Open Payments records for all available years, with a total value of $8,826.

Total Amount is formed as General ($8,826) + Research ($0) + Ownership ($0) = $8,826.

Last reported payment date: 2024-10-03 • Largest payer in this snapshot: USWM, LLC ($8,191).

Total Amount

$8,826

General + Research + Ownership

Payments

42

Total payment records

General Amount

$8,826

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-03

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: 2010-08-05

PECOS data refreshed: 2026-05-27

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
I20100805000302IPhysical Medicine And RehabilitationCATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes40153$0
View full utilization report →

Insurance plans in this area (ZIP 90807)

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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: 2961651617View full group profile
NameSpecialtyState
-CA

Reviews

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Frequently asked questions

Is there an official ID for ANDREI N DOKUKIN (MD) in U.S. healthcare records?
The official identifier for ANDREI N DOKUKIN (MD) is NPI 1770715575.
Is ANDREI N DOKUKIN (MD) shown as active in public data?
Registry records indicate ANDREI N DOKUKIN (MD) maintains an active NPI.
What kind of doctor is ANDREI N DOKUKIN (MD)?
ANDREI N DOKUKIN (MD) is associated with Pain Medicine (Physical Medicine & Rehabilitation) Physician in the directory — Clinical services aligned with this taxonomy classification.
Is ANDREI N DOKUKIN (MD) associated with Long Beach?
Public fields place ANDREI N DOKUKIN (MD) around Long Beach, California. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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