Anne Koroshetz, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

D0066670 Issued in MD

Practice address

10215 Fernwood Rd
Suite 620
Bethesda, MD 20817-1106

Phone

(301) 530-6646

Fax

(301) 530-0773

NPI assigned

Sep 30, 2005

Last updated

Dec 20, 2013By the provider in NPPES

Sex

Female

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 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Community Radiology Associates Inc

  • Diagnostic Radiology Physician
  • Silver Spring, MD
  • NPI 1396707782
  NPD (past)
• Community Radiology Associates Inc

  • Diagnostic Radiology Physician
  • Bethesda, MD
  • NPI 1972324606
  NPD (past)
• DRS Korsower & Pion Radiology PA

  • Diagnostic Radiology Physician
  • Olney, MD
  • NPI 1447212840
  NPD (past)
• Montgomery-Community Magnetic Imaging CNTR LTD Partnership

  • Diagnostic Radiology Physician
  • Rockville, MD
  • NPI 1346202751
  NPD (past)
• Milton Radiologists Inc

  • Diagnostic Radiology Physician
  • Milton, MA
  • NPI 1275510018
  NPD (past)

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387497600000",
    "number": "1215924790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 ASPEN HILL ROAD",
            "address_2": "STE 200",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "20853",
            "telephone_number": "301-438-5150",
            "fax_number": "301-460-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10215 FERNWOOD RD",
            "address_2": "SUITE 620",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171106",
            "telephone_number": "301-530-6646",
            "fax_number": "301-530-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOROSHETZ",
        "first_name": "ANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-30",
        "last_updated": "2013-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "51928",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0066670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6190847",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "022886K90",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039290100",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "413835000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick Korb, CRNP-PMH
• Matthew Calvin Korbon
• Nicholas Rich Koreerat, DPT
• Maia Korioukhina, PA-C
• Dana Lee Kornfeld, MD
• Jennifer L Kortman
• Samuel Ray Kosydar, MD
• Christian Nikolai Kotanen, MD, PHD
• Savannah Kristine Kounelis-Wuillaume
• Andrew G Koury, MD

• Diagnostic Radiology Physician in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Diagnostic Radiology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; 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.