Active NPI
Thomas Michael Korotka, PA-C
- Physician Assistant
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA031061
- Practice address
- 2150 Pennsylvania Ave NW Ste 7-135
Washington, DC 20037-3201 - Phone
- (202) 741-2750
- Fax
- (202) 741-2753
- NPI assigned
- Jul 10, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA031061 | DC | Primary |
| Physician Assistant | 363A00000X | C0005446 | MD |
Addresses
Primary practice location
2150 Pennsylvania Ave NW Ste 7-135
Washington, DC 20037-3201
Mailing address
2150 Pennsylvania Ave NW Ste 7-135
Washington, DC 20037-3201
Phone (202) 741-2750
Other practice location 1
9715 Medical Center Dr
Suite 230
Rockville, MD 20850-3320
Phone (301) 339-8398
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 N George Mason Dr
Arlington, VA 22205-3610
1701 N George Mason Dr
Arlington, VA 22205-3698
Hospital & facility affiliations
- Virginia Hospital Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0005446 | MD | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins Community Physicians | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins Community Physicians, Inc | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Virginia Hospital Center Physician Group, LLC | Current | Accepting new patients | |
| Virginia Hospital Center Physician Group LLC | Current | Accepting new patients | |
| Johns Hopkins Community Physicians, Inc | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
5255 Loughboro Rd NW
Washington, DC 20016
Phone (202) 243-2280
1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800
14207 Park Center Dr
Ste 102
Laurel, MD 20707
Phone (301) 604-5254
6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704
9910 Franklin Square Dr
#2110
Nottingham, MD 21236
Phone (410) 933-5412
1635 N George Mason Dr
Ste 430
Arlington, VA 22205
Phone (703) 528-3600
1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000
Interoperability endpoints
- tkorotka19694@gwmfa.direct-ci.com
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Maternal & Fetal Medicine Physician
- Arlington, VA
- NPI 1144415480
DC
-
- Anesthesiology Physician
- Washington, DC
- NPI 1417990581
-
- Clinical Social Worker
- Baltimore, MD
- NPI 1356161806
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1255359972
-
- Family Medicine Physician
- Baltimore, MD
- NPI 1770518003
-
- Neurology Physician
- MC Lean, VA
- NPI 1598552226
-
- Surgery Physician
- Baltimore, MD
- NPI 1689655219
-
- Neurology Physician
- Arlington, VA
- NPI 1245010479
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Arlington, VA
- NPI 1790785996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560556800000",
"number": "1033525977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2150 PENNSYLVANIA AVE NW STE 7-135",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200373201",
"telephone_number": "202-741-2750",
"fax_number": "202-741-2753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 PENNSYLVANIA AVE NW STE 7-135",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200373201",
"telephone_number": "202-741-2750",
"fax_number": "202-741-2753"
}
],
"practiceLocations": [
{
"address_1": "9715 Medical Center Dr",
"address_2": "Suite 230",
"address_purpose": "LOCATION",
"city": "Rockville",
"state": "MD",
"postal_code": "208503320",
"country_code": "US",
"telephone_number": "301-339-8398",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOROTKA",
"first_name": "THOMAS",
"middle_name": "MICHAEL",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-10",
"last_updated": "2019-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "DC",
"license": "PA031061",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0005446",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.