Douglas Kornreich, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

220850-1 Issued in NY

Practice address

1980 Crompond Rd
Hudson Valley Hospital CNTR
Cortlandt Manor, NY 10567

Phone

(914) 737-9000

Fax

(845) 790-2613

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424304000000",
    "number": "1184659906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550",
            "address_2": "2 CATHARINE ST",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "12602",
            "telephone_number": "845-790-2614",
            "fax_number": "845-790-2613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 CROMPOND RD",
            "address_2": "HUDSON VALLEY HOSPITAL CNTR",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "10567",
            "telephone_number": "914-737-9000",
            "fax_number": "845-790-2613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORNREICH",
        "first_name": "DOUGLAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2015-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "220850",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "220850-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02425592",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00197943",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Knickerbocker Dialysis Inc. (Peekskill Cortlandt Dialysis Center)
• Kristina Knoeppel
• John Ko, M.D., PH.D.
• Jasmina Kolenovic
• Michelle Kornfeld
• Brenda Kostulas
• John F Koval, RPA
• Shanker Krishnamurthy, M.D.
• Uma Krishnamurthy, MD
• Kim Kroeger-Bushell, PMHNP

• Anesthesiology Physician in Cortlandt Manor, NY
• Providers in Cortlandt Manor, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.