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

Pratheek Simon Kakkasseril, MD

Individual provider Vascular Surgery Physician · NPI 1609195643

Pratheek Simon Kakkasseril, MD is a Vascular Surgery in Youngstown, Ohio. Graduated from Northeastern Ohio University College of Medicine in 2005, 21 years ago. Practices with Mercy Health Physicians Youngstown Specialty Care LLC, a 467-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
21
Trained at
Northeastern Ohio University College of Medicine
Licensed in
OH
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1001 Belmont Ave
Youngstown, OH 44504-1003
Phone: (330) 747-1106
Fax: (330) 747-0491
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 35.120203 (OH)

Record details

NPI number1609195643
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 28, 2010
Last updated in NPPESFebruary 25, 2020
Certification dateFebruary 25, 2020

Medicare enrollment

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

Medicare specialtyVASCULAR SURGERY
Medical schoolNORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Mercy Health Physicians Youngstown Specialty Care Llc — 467 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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