Chase Ryan Kornegay, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

24482 Issued in OK

Practice address

4100 International PLZ
Suite 600
Fort Worth, TX 76109-4820

Phone

(817) 334-0530

Fax

(817) 877-0350

NPI assigned

Feb 5, 2007

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX, CO, OK3 enrollments

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 3

Specialty

Anesthesiology

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

National Jewish HealthGroup PAC ID 4587577028, 244 clinicians

Prime Anesthesia PLLCGroup PAC ID 5799106019, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• National Jewish Health Hospital, Denver, CO, CCN 060107

Merit-based Incentive Payment System (MIPS)

Final score

81.78 of 100Reported as group

Quality

69.37

Promoting interoperability

100

Improvement activities

40

Cost

65.17

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ckornegay@direct.uspi.com

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.

• National Jewish Health

  • General Acute Care Hospital
  • Denver, CO
  • NPI 1326015777
  Medicare reassignment Care Compare group NPD
• Prime Anesthesia PLLC

  • Anesthesiology Physician
  • Castle Rock, CO
  • NPI 1427685247
  Medicare reassignment Care Compare group NPD
• Orthomed Staffing LLC

  • Anesthesiology Physician
  • Addison, TX
  • NPI 1225514276

  OK

  Medicare reassignment NPD
• Valiant Anesthesia Associates, PLLC

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1588906812
  Medicare reassignment NPD
• St. John Anesthesia Services, Inc.

  • Anesthesiology Physician
  • Tulsa, OK
  • NPI 1265446579
  NPD (past)

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

• National Jewish Health

  • General Acute Care Hospital
  • Denver, CO
  • NPI 1326015777
  Care Compare affiliation

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516924800000",
    "number": "1356480826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 LAKESIDE BLVD",
            "address_2": "STE 250",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750824351",
            "telephone_number": "972-422-5941",
            "fax_number": "972-881-4390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 INTERNATIONAL PLZ",
            "address_2": "SUITE 600",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094820",
            "telephone_number": "817-334-0530",
            "fax_number": "817-877-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORNEGAY",
        "first_name": "CHASE",
        "middle_name": "RYAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2018-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OK",
            "license": "24482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200243250A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Kopor, LPC-S LCDC
• Hannah R Kopriva, APRN, NP-BC
• Michael D. Korenman, M.D.
• Stephanie Korlie, PHARM.D.
• Brenton Wayne Kornegay, LBSW
• Koroheke Care, LLC
• Kory S. Cummings, O.D., P.a.
• Caroline Ann Koshy
• Claire Koskie, RD LD
• Ludmila Kosmari, APRN

• Anesthesiology Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Anesthesiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2018; 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.