PRATHEEK SIMON KAKKASSERIL (M.D.) – Vascular Surgery Physician, NPI 1609195643
Vascular Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
303 VASCULAR SURGERY in OH
Provider Addresses for PRATHEEK SIMON KAKKASSERIL (M.D.)
1001 BELMONT AVE
YOUNGSTOWN, OH 445041003
Phone: (330) 747-1106
Fax: (330) 747-0491
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 67 Open Payments records for all available years, with a total value of $3,600.
Total Amount is formed as General ($3,600) + Research ($0) + Ownership ($0) = $3,600.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Medtronic, Inc. ($2,646).
Total Amount
$3,600
General + Research + Ownership
Payments
67
Total payment records
General Amount
$3,600
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $2,646 |
| Integra LifeSciences Corporation | $298 |
| Abbott Laboratories | $145 |
| Organogenesis Inc. | $121 |
| Silk Road Medical, Inc. | $96 |
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: 2013-01-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130124000440 | I | Vascular Surgery | OH | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 273 | 38 | $0 |
| 99183 | Management of oxygen chamber therapy | 73 | 12 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 71 | 57 | $0 |
| 75710 | Review by radiologist of arm or leg artery image | 44 | 28 | $0 |
| 37228 | Balloon dilation of artery of leg, initial vessel | 43 | 28 | $0 |
Insurance plans in this area (ZIP 44504)
Loading plans...
Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OH | |
| Cardiovascular Disease (Cardiology) | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Family Practice | IA | |
| Nurse Practitioner | PA | |
| Radiation Oncology | PA | |
| H O S P I T A L I S T | OH | |
| N E U R O L O G Y | OH |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.