Active NPI
Ferdinand J. Korneli, DO
- Internal Medicine Physician
- Grayling, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 5101010337
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4327831 | Medicaid | MI | |
| 2879522 | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Munson Healthcare Grayling | Internal Medicine | Current | Accepting new patients |
| Munson Healthcare Grayling | Current | Accepting new patients | |
| Munson Healthcare Grayling | Current | Accepting new patients | |
| Munson Healthcare Grayling | Current | 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
- 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Milltown Clinic | 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.
-
- Family Medicine Physician
- Grayling, MI
- NPI 1699275750
W-2 Managing Employee
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.
-
- Rural Health Clinic/Center
- Roscommon, MI
- NPI 1710383351
-
- Rural Health Clinic/Center
- Mio, MI
- NPI 1093349698
-
- Family Medicine Physician
- Mio, MI
- NPI 1235788639
-
- Hematology & Oncology Physician
- Grayling, MI
- NPI 1427489509
-
- Rural Health Clinic/Center
- Prudenville, MI
- NPI 1144626052
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Kalkaska, MI
- NPI 1497751309
-
- General Acute Care Hospital
- Cadillac, MI
- NPI 1841696754
-
- Rural Acute Care Hospital
- Grayling, MI
- NPI 1083010953
-
- General Acute Care Hospital
- Gaylord, MI
- NPI 1124028972
-
- Home Health Agency
- Traverse City, MI
- NPI 1326002577
-
- General Acute Care Hospital
- Traverse City, MI
- NPI 1952307852
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- 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.