Ciril Khorolsky, M.D.
Individual provider Active NPI Interventional Cardiology Physician · Roseburg, OR
NPI 1407309495 · NPPES record last updated Apr 7, 2025
Key facts
- NPI
- 1407309495
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Interventional Cardiology Physician 207RI0011X
- License
- MD218053 (OR)
- Practice address
- 2700 NW Stewart Pkwy
Roseburg, OR 97471-1281 - Phone
- (541) 673-0611
- NPI assigned
- Jul 26, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Interventional Cardiology
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Centennial Medical Group Inc
Practice addresses (Care Compare)
2700 NW Stewart Pkwy
Roseburg, OR 97471-1281
Phone (541) 677-2452
2801 NW Mercy Dr
Roseburg, OR 97471-2348
Hospital & facility affiliations
- Mercy Medical Center
- Sacred Heart Medical Center - Riverbend
- Peacehealth Cottage Grove Community Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.4 of 100
- Quality
- 67.01
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 78.48
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 32 |
| Pacemaker insertion or repair | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240809003778 | OR | Practitioner - Interventional Cardiology | 7012256811 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD218053 | OR | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centennial Medical Group Inc. | Current |
Accepting new patients | |
| Commonspirit Oregon | Past | Accepting new patients |
Locations
2700 NW Stewart Pkwy
Roseburg, OR 97471
Phone (541) 673-0611
201 NW Medical Loop
Ste 190
Roseburg, OR 97471
Phone (541) 644-4319
Interoperability endpoints
- ckhorolsky26116@albanymed.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | MD218053 | OR | Yes |
Addresses
Primary practice location
2700 NW Stewart Pkwy
Roseburg, OR 97471-1281
Mailing address
900 Jewel Dr
Roseburg, OR 97471-9876
Phone (347) 899-5260
Other providers in Roseburg, OR
- Daniel Kevan
- Clyde A. Keys
- Cynthia J Keys
- Ashiya Khan
- Ovais Khan
- Kidney and Hypertension Center PC
- Kids & Company Inc
- Kidsdocs PC
- Lucas Kiefer
- Rosellen E Kimbrough
All providers in Roseburg, OR · Interventional Cardiology Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.