Active NPI
Tanya Joanne Korkosz, MD
- Psychiatry Physician
- Belmont, MA
National Provider Identifier
1447314638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 057686
- Practice address
- 60 Wellesley Rd
Belmont, MA 02478-2125 - Phone
- (978) 250-1111
- Fax
- (617) 489-9969
- NPI assigned
- Dec 21, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 057686 | MA | Primary |
Addresses
Primary practice location
60 Wellesley Rd
Belmont, MA 02478-2125
Mailing address
60 Wellesley Rd
Belmont, MA 02478-2125
Phone (978) 250-1111
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 057686 | Other | MA | TUFTS |
| J11439 | Other | MA | BCBS MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060502000510 | MA | Practitioner - Psychiatry | 7214947449 | Practice locations: Belmont, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Tufts University School of Medicine, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
60 Wellesley Rd
Belmont, MA 02478-2125
Phone (617) 489-5522
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 057686 | MA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447314638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 WELLESLEY RD",
"city": "BELMONT",
"state": "MA",
"postal_code": "024782125",
"telephone_number": "978-250-1111",
"fax_number": "617-489-9969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 WELLESLEY RD",
"city": "BELMONT",
"state": "MA",
"postal_code": "024782125",
"telephone_number": "978-250-1111",
"fax_number": "617-489-9969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORKOSZ",
"first_name": "TANYA",
"middle_name": "JOANNE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "057686",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "057686",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MA",
"identifier": "J11439",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Belmont, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.