Individual provider Active NPI

Michael D Corvini, MD

  • Emergency Medicine Physician
  • Yonkers, NY
National Provider Identifier
1396770699
Registry record updated Apr 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
253169-1 Issued in NY
Practice address
967 N Broadway
Yonkers, NY 10701-1301
Phone
(914) 964-4349
NPI assigned
Jul 12, 2006
Last updated
Apr 18, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 253169-1 NY Primary
Internal Medicine Physician 207R00000X 042942 CT

Addresses

Primary practice location

967 N Broadway
Yonkers, NY 10701-1301

Mailing address

967 N Broadway
Yonkers, NY 10701-1301
Phone (914) 964-4349

Other identifiers 1

IdentifierTypeStateIssuer
001429423MedicaidCT

Other names 1

  • David Michael Corvini Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20171122000068 TN Practitioner - Internal Medicine 0446256150

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
253169-1NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Physician Services PC Internal Medicine CurrentSince Aug 12, 2017 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince May 1, 2018 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Aug 23, 2017 Accepting new patients
Hospital Medicine Services of Tennessee PC Internal Medicine CurrentSince Feb 1, 2020 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Feb 2, 2021 Accepting new patients
Virtualcare Medical Services of Ny PC CurrentSince Feb 1, 2022 Accepting new patients
Neighborhood Health, Inc. Emergency Medicine Past Accepting new patients
Hospital Medicine Associates LLC Internal Medicine PastSince Jan 1, 2021 Accepting new patients
Eastside Hospitalists Inc PastSince Jan 1, 2026 Accepting new patients
Alliance Medical Group, Inc Internal Medicine PastSince Jan 1, 2010 Accepting new patients
Emergency Services of Montgomery PC Emergency Medicine PastSince Jan 1, 2026 Accepting new patients
Ecc Hospitalist Services PC Internal Medicine PastSince Jan 1, 2021 Accepting new patients
Alliance Medical Group of Greater Waterbury PC Internal Medicine Past Accepting new patients
Thse - Marco Urgent Care LLC Internal Medicine PastSince Sep 15, 2020 Accepting new patients
Acs Primary Care Physicians - Southeast PC Emergency Medicine PastSince Jan 1, 2026 Accepting new patients
Southeastern Intensivist Services PC Internal Medicine PastSince May 1, 2022 Accepting new patients
Abercrombie Radiological Consultants Inc PastSince Jun 1, 2021 Accepting new patients

Locations

262 Leroy George Dr
Clyde, NC 28721
Phone (828) 452-8210

190 Hospital Dr
Highlands, NC 28741
Phone (828) 213-9530

615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

288 S Ridgecrest Ave
Rutherfordton, NC 28139
Phone (252) 808-6000

2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

742 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 429-6100

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Brownsville Medical ClinicBrownsville, TN, CCN 883810 Rural health clinic Corporate Officer Feb 20, 2024
Medical Clinic of AlamoAlamo, TN, CCN 883811 Rural health clinic Corporate Officer Feb 20, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366243200000",
    "number": "1396770699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "967 N BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011301",
            "telephone_number": "914-964-4349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "967 N BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011301",
            "telephone_number": "914-964-4349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORVINI",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2013-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "253169-1",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "042942",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001429423",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "CORVINI",
            "middle_name": "MICHAEL",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.