NPIMap

Individual provider Active NPI

Kyung K Incorvati, M.D.

  • Surgery Physician
  • Beaver, PA
National Provider Identifier
1306832498
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD067851L Issued in PA
Practice address
93 Boundry LN
Beaver, PA 15009-2949
Phone
(724) 843-3800
Fax
(724) 843-4799
NPI assigned
Sep 23, 2005
Last updated
Sep 16, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD067851L PA Primary

Addresses

Primary practice location

93 Boundry LN
Beaver, PA 15009-2949

Mailing address

1520 3Rd Ave
New Brighton, PA 15066-2204
Phone (724) 843-3800

Other identifiers 1

IdentifierTypeStateIssuer
0017780330006MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080122000413 PA Practitioner - General Surgery 7618959453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of California, Geffen School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

93 Boundry LN
Beaver, PA 15009-2949
Phone (724) 773-6400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Mastectomy23

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Valley Multispecialty Group, Inc. CurrentSince Jan 1, 2008 Accepting new patients
Heritage Valley Multispecialty Group, Inc. Surgery CurrentSince Jan 1, 2008 Accepting new patients
Heritage Valley Medical Group, Inc. Past Accepting new patients
Association of Specialty Physicians, Inc Surgery Past Accepting new patients

Locations

1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000

1000 Dutch Ridge Rd
Fl Third
Beaver, PA 15009
Phone (412) 299-8550

1030 Beaner Hollow Rd
Beaver, PA 15009
Phone (724) 774-0778

2 Peartree Way
Beaver, PA 15009
Phone (724) 773-6802

500 Sharon Rd
Beaver, PA 15009
Phone (724) 728-7683

100 Hazel Ln
Sewickley, PA 15143
Phone (412) 749-6806

701 Broad St
Ste 411
Sewickley, PA 15143
Phone (412) 749-7160

93 Boundry Ln
West Bridgewater, PA 15009
Phone (724) 728-8300

Interoperability endpoints

  • Direct secure messaging: kyungincorvati@hvhs.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1306832498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 3RD AVE",
            "city": "NEW BRIGHTON",
            "state": "PA",
            "postal_code": "150662204",
            "telephone_number": "724-843-3800",
            "fax_number": "724-843-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 BOUNDRY LN",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092949",
            "telephone_number": "724-843-3800",
            "fax_number": "724-843-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INCORVATI",
        "first_name": "KYUNG",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-23",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD067851L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017780330006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver, PA

Sources for this page

Verify at the official NPI Registry.