Alexey V Korenichenko, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.007732RX Issued in OH

Practice address

33 W Rahn Rd
Dayton, OH 45429-2219

Phone

(937) 433-8990

Fax

(937) 433-8691

NPI assigned

Aug 22, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Aleksey Korenichenko Other name

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emergency Medicine Associates P.a., P.C.Group PAC ID 8022914522, 706 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Luminis Health Doctors Community Medical Ctr, Inc Hospital, Lanham, MD, CCN 210051

Merit-based Incentive Payment System (MIPS)

Final score

91.82 of 100Reported as group

Quality

79.31

Promoting interoperability

94

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

81.6 of 100Reported as group

Quality

76.36

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Emergency Medicine Associates P.a., P.C.

  • Emergency Medicine Physician
  • Falls Church, VA
  • NPI 1134117393

  DC

  Medicare reassignment Care Compare group
• Emergency Medicine Associates P.a., P.C.

  • Internal Medicine Physician
  • Culpeper, VA
  • NPI 1881559102
  NPD
• Emergency Medicine Associates PA

  • Hospitalist Physician
  • Alexandria, VA
  • NPI 1932948114
  NPD

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

• Luminis Health Doctors Community Medical Center, Inc.

  • General Acute Care Hospital
  • Lanham, MD
  • NPI 1730136532
  Care Compare affiliation

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1326766627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 W RAHN RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454292219",
            "telephone_number": "937-433-8990",
            "fax_number": "937-433-8691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 W RAHN RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454292219",
            "telephone_number": "937-433-8990",
            "fax_number": "937-433-8691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORENICHENKO",
        "first_name": "ALEXEY",
        "middle_name": "V",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-22",
        "last_updated": "2024-01-11",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.007732RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEKSEY",
            "last_name": "KORENICHENKO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sydney Caitlin Koogle, OTD, OTR/L
• Donniece Koontz
• Gregory P Kooyman, P.A.
• Joris Koranteng
• Karen Korber, CRNA
• Scott Thomas Korfhagen, M.D.
• Robin M Koronich
• Thomas Andrew Koroscil
• Thomas M Koroscil, MD
• Brendan Anthony Korpanty, DO

• Physician Assistant in Dayton, OH
• Providers in Dayton, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.

Verify at the official NPI Registry.