NPIMap

Individual provider Active NPI

Adam Edward Chornoby, D.O.

  • Cardiovascular Disease Physician
  • Garden City, MI
National Provider Identifier
1063790939
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
5101019206 Issued in MI
Practice address
30626 Ford Rd
Garden City, MI 48135-1870
Phone
(734) 261-9211
Fax
(734) 261-8537
NPI assigned
Jul 26, 2011
Last updated
Feb 15, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 5101019206 MI Primary

Addresses

Primary practice location

30626 Ford Rd
Garden City, MI 48135-1870

Mailing address

6245 Inkster Rd
Garden City, MI 48135-4001
Phone (734) 261-9211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170517001709 MI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9335458512 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Midwest Cardiology Associates PCGroup PAC ID 1759379860, 4 clinicians

Practice addresses (Care Compare)

30626 Ford Rd
Garden City, MI 48135-1870
Phone (734) 261-9211

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10
Varicose vein removal1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101019206MIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ella E M Brown Charitable Circle Single Specialty CurrentSince Jun 18, 2017 Accepting new patients
Ella Em Brown Charitable Circle CurrentSince Jun 18, 2017 Accepting new patients
Ella E M Brown Charitable Circle Single Specialty Current Accepting new patients
Midwest Cardiology Associates, PC Single Specialty CurrentSince Jul 1, 2017 Accepting new patients

Locations

30626 Ford Rd
Garden City, MI 48135
Phone (734) 261-9211

6245 Inkster Rd
Garden City, MI 48135
Phone (734) 421-3300

200 N Madison St
Marshall, MI 49068
Phone (269) 789-3921

Interoperability endpoints

  • Direct secure messaging: achornoby@mca.ssdirect.aprima.com
  • Direct secure messaging: achornoby419671@direct.hfhs.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1063790939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6245 INKSTER RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481354001",
            "telephone_number": "734-261-9211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30626 FORD RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481351870",
            "telephone_number": "734-261-9211",
            "fax_number": "734-261-8537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHORNOBY",
        "first_name": "ADAM",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-26",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "5101019206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, MI

Sources for this page

Verify at the official NPI Registry.