Individual provider Active NPI

Ferdinand J. Korneli, DO

  • Internal Medicine Physician
  • Grayling, MI
National Provider Identifier
1225054943
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5101010337 Issued in MI
Practice address
1200 W North Down River Rd Ste C
Grayling, MI 49738-8024
Phone
(989) 344-5910
Fax
(231) 935-3463
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5101010337 MI Primary

Addresses

Primary practice location

1200 W North Down River Rd Ste C
Grayling, MI 49738-8024

Mailing address

1200 W North Down River Rd Ste C
Grayling, MI 49738-8024
Phone (989) 344-5910

Other practice location 1

1100 E Michigan Ave
Grayling, MI 49738-1312
Phone (989) 348-5461

Other practice location 2

1321 S Mount Tom Rd
Mio, MI 48647-9518
Phone (989) 275-1200

Other practice location 3

1250 E Michigan Ave
Grayling, MI 49738-7074
Phone (989) 348-0550

Other identifiers 2

IdentifierTypeStateIssuer
4327831MedicaidMI
2879522MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address fkorneli@direct.mhc.net

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040809000942 MI Practitioner - Internal Medicine 7315919511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Munson Healthcare GraylingGroup PAC ID 2062736655, 64 clinicians

Practice addresses (Care Compare)

1010 W N Down River Rd
Munson Healthcare Grayling Physician Networ
Grayling, MI 49738-2060
Phone (231) 876-7476

1100 E Michgan Ave
Grayling, MI 49738-1312
Phone (989) 348-0594

1200 W N Down River Rd C
Milltown Clinic
Grayling, MI 49738-8024
Phone (989) 344-5910

1250 E Michigan Ave
Grayling Community Health Center
Grayling, MI 49738-7074
Phone (989) 348-0550

1250 E Michigan Ave C
Munson Audiology Grayling
Grayling, MI 49738-7074
Phone (231) 935-6455

809 E Michigan Ave
Grayling, MI 49738-1417
Phone (989) 348-0594

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Healthcare Grayling Internal Medicine Current Accepting new patients
Munson Healthcare Grayling Current Accepting new patients
Munson Healthcare Grayling CurrentSince Feb 1, 2015 Accepting new patients
Munson Healthcare Grayling CurrentSince Feb 1, 2015 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Munson Healthcare Grayling Past Accepting new patients
Mercy Hospital Grayling Past Accepting new patients

Locations

3781 Momentum Pl
Chicago, IL 60689

809 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0530

1100 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0317

1250 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0550

1200 W North Down River Rd
Ste C
Grayling, MI 49738
Phone (231) 935-6455

1321 S Mount Tom Rd
Mio, MI 48647
Phone (989) 275-1200

2585 W Houghton Lake Dr
Prudenville, MI 48651
Phone (989) 348-0055

234 Lake St
Roscommon, MI 48653
Phone (517) 275-1200

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

Interoperability endpoints

  • Direct secure messaging: fkorneli@direct.mhc.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Milltown ClinicGrayling, MI, CCN 238717 Rural health clinic W-2 Managing Employee Nov 23, 1990

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1225054943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W NORTH DOWN RIVER RD STE C",
            "city": "GRAYLING",
            "state": "MI",
            "postal_code": "497388024",
            "telephone_number": "989-344-5910",
            "fax_number": "231-935-3463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W NORTH DOWN RIVER RD STE C",
            "city": "GRAYLING",
            "state": "MI",
            "postal_code": "497388024",
            "telephone_number": "989-344-5910",
            "fax_number": "231-935-3463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 E Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Grayling",
            "state": "MI",
            "postal_code": "497381312",
            "country_code": "US",
            "telephone_number": "989-348-5461",
            "fax_number": "989-348-5724",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1321 S Mount Tom Rd",
            "address_purpose": "LOCATION",
            "city": "Mio",
            "state": "MI",
            "postal_code": "486479518",
            "country_code": "US",
            "telephone_number": "989-275-1200",
            "fax_number": "989-275-1210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 E Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Grayling",
            "state": "MI",
            "postal_code": "497387074",
            "country_code": "US",
            "telephone_number": "989-348-0550",
            "fax_number": "989-348-6749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KORNELI",
        "first_name": "FERDINAND",
        "middle_name": "J.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101010337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4327831",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2879522",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fkorneli@direct.mhc.net",
            "affiliation": "N",
            "address_1": "1200 W North Down River Rd Ste C",
            "city": "Grayling",
            "state": "MI",
            "country_code": "US",
            "postal_code": "497388024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grayling, MI

Sources for this page

Verify at the official NPI Registry.