Walter Kornienko, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

MD038297E Issued in PA

Practice address

760 W Sproul Rd Ste 200
Springfield, PA 19064-4005

Phone

(484) 386-6300

Fax

(484) 380-3178

NPI assigned

Feb 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

89.23 of 100Reported as group

Quality

86.8

Promoting interoperability

100

Improvement activities

40

Cost

77.29

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1184697765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 N BROAD ST",
            "address_2": "3RD FLR.",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191071500",
            "telephone_number": "484-386-6300",
            "fax_number": "484-380-3178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 W SPROUL RD STE 200",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190644005",
            "telephone_number": "484-386-6300",
            "fax_number": "484-380-3178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORNIENKO",
        "first_name": "WALTER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD038297E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001101410",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tana Marie Kirkpatrick, RN, IBCLC
• Stephanie Kitain, LCSW
• Melissa Marie Kleinz, LPC
• Paul Kolecki, M.D.
• Henry S Kollie Jr.
• Eric Korsgaard, AUD
• Namir B Kosa, MD
• Shawn Patricia Kraemer, M.A., L.P.C.
• Ashu Singh Kudesia, MD
• L. Rand Enterprises Inc.

• Cardiovascular Disease Physician in Springfield, PA
• Providers in Springfield, PA by specialty
• Cardiovascular Disease Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.