Active NPI
Harold Kornylak, DO
- Neuromusculoskeletal Medicine & OMM Physician
- Virginia Beach, VA
National Provider Identifier
1043385370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromusculoskeletal Medicine & OMM Physician
- License
- 0102036958
- Practice address
- 1432 E Bay Shore Dr
Virginia Beach, VA 23451-3760 - Phone
- (757) 491-3294
- Fax
- (480) 275-3481
- NPI assigned
- Nov 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | 0102036958 | VA | Primary |
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | DOS1022 | HI |
Addresses
Primary practice location
1432 E Bay Shore Dr
Virginia Beach, VA 23451-3760
Mailing address
1432 E Bay Shore Dr
Virginia Beach, VA 23451-3760
Phone (757) 491-3294
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120103000669 | VA | Practitioner - Osteopathic Manipulative Medicine | 6901072503 | Practice locations: Virginia Beach, VA |
Care Compare profile
Medicare Care Compare- Specialty
- Osteopathic Manipulative Medicine
- Education
- University of New England, College of Osteo Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1432 E Bay Shore Dr
Virginia Beach, VA 23451-3760
Phone (757) 491-3294
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DOS1022 | HI | MD | Neuromusculoskeletal Medicine & OMM Physician |
| 0102036958 | VA | MD | Neuromusculoskeletal Medicine & OMM Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043385370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1432 E BAY SHORE DR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234513760",
"telephone_number": "757-491-3294",
"fax_number": "480-275-3481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1432 E BAY SHORE DR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234513760",
"telephone_number": "757-491-3294",
"fax_number": "480-275-3481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORNYLAK",
"first_name": "HAROLD",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "VA",
"license": "0102036958",
"primary": true
},
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "HI",
"license": "DOS1022",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.