Individual provider Active NPI

Kornylo D Chorny, M.D.

  • Diagnostic Radiology Physician
  • Flushing, NY
National Provider Identifier
1245293422
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
195622 Issued in NY
Practice address
5645 Main St
Flushing, NY 11355-5045
Phone
(718) 670-1594
Fax
(718) 670-1901
NPI assigned
Apr 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X 195622 NY
Neuroradiology Physician 2085N0700X 195622 NY
Nuclear Radiology Physician 2085N0904X 195622 NY
Diagnostic Radiology Physician 2085R0202X 195622 NY Primary
Therapeutic Radiology Physician 2085R0203X 195622 NY
Diagnostic Ultrasound Physician 2085U0001X 195622 NY

Addresses

Primary practice location

5645 Main St
Flushing, NY 11355-5045

Mailing address

3211 Francis Lewis Blvd
Flushing, NY 11358-1922
Phone (718) 352-9850

Other identifiers 1

IdentifierTypeStateIssuer
02165355MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20051109000758 NY Practitioner - Diagnostic Radiology 9638106826 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Albert Einstein College of Medicine of Yeshiva University, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunset Park Radiology PCGroup PAC ID 6608247291, 32 clinicians
Radiology Associates of Main Street PCGroup PAC ID 5799677522, 52 clinicians
Main Street Radiology at Bayside LLCGroup PAC ID 5395732671, 56 clinicians

Practice addresses (Care Compare)

15459 Riverside Dr
Beechhurst, NY 11357-1339
Phone (212) 965-9888

21 Ivy Close
Forest Hills, NY 11375-6020
Phone (718) 670-1050

211 Midland Ave
Rye, NY 10580-3834
Phone 61421018851794

3225 Francis Lewis Blvd
Flushing, NY 11358-1922
Phone (718) 428-1500

5521 8TH Ave
FL 6
Brooklyn, NY 11220-3515
Phone (718) 928-2588

5645 Main St
Flushing, NY 11355-5045
Phone (718) 428-1500

7206 Northern Blvd
Jackson Heights, NY 11372-1049
Phone (718) 428-1500

8314 Cooper Ave
Suite C
Glendale, NY 11385-7722
Phone (718) 428-1500

Hospital & facility affiliations

  • New York-Presbyterian/Queens Hospital, Flushing, NY, CCN 330055

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
195622NYMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of Main Street PC Diagnostic Radiology CurrentSince Jul 19, 2005 Accepting new patients
Sunset Park Radiology PC Diagnostic Radiology CurrentSince Feb 20, 2024 Accepting new patients
Main Street Radiology at Bayside LLC Diagnostic Radiology CurrentSince Jun 1, 2017 Accepting new patients
Bih Radiologic Foundation Inc Body Imaging Past Accepting new patients

Locations

5521 8th Ave
Fl 6
Brooklyn, NY 11220
Phone (718) 928-2588

3211 Francis Lewis Blvd
Flushing, NY 11358
Phone (718) 352-9850

5645 Main St
Flushing, NY 11355
Phone (718) 670-1435

3225 Francis Lewis Blvd
Flushing, NY 11358
Phone 61421018851070

7206 Northern Blvd
Jackson Heights, NY 11372
Phone (718) 670-1512

16022 Willets Point Blvd
Whitestone, NY 11357
Phone (718) 352-9850

Interoperability endpoints

  • Direct secure messaging: kdc9004@direct.nyp.org

Organizations & group practices 4

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 4

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": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320278400000",
    "number": "1245293422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211 FRANCIS LEWIS BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581922",
            "telephone_number": "718-352-9850",
            "fax_number": "718-352-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5645 MAIN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555045",
            "telephone_number": "718-670-1594",
            "fax_number": "718-670-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHORNY",
        "first_name": "KORNYLO",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2011-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "NY",
            "license": "195622",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NY",
            "license": "195622",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "NY",
            "license": "195622",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "195622",
            "primary": true
        },
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "NY",
            "license": "195622",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NY",
            "license": "195622",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02165355",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.