Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mark W. Koukkari, MD

Individual provider Specialist · NPI 1750479929

Mark W. Koukkari, MD is a Neurology in San Jose, California. Graduated from University of Minnesota Medical School in 1990, 36 years ago. Practices with Sutter Bay Medical Foundation, a 3,762-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
36
Trained at
University of Minnesota Medical School
Licensed in
CA
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2577 Samaritan Dr Ste 725
San Jose, CA 95129-4552
Phone: (408) 524-5700
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology with Special Qualifications in Child Neurology Physician (primary) Taxonomy 2084N0402X · Licence G74711 (CA)
Specialist Taxonomy 174400000X · Licence G74711 (CA)
Neurology Physician Taxonomy 2084N0400X · Licence G74711 (CA)

Record details

NPI number1750479929
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 11, 2006
Last updated in NPPESMarch 22, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Also practisesPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 1990 (36 years in practice)
Group practice Sutter Bay Medical Foundation — 3762 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in San Jose