Gennady P Chernyak, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

10000699A Issued in IN

Practice address

1808 West Royale Drive
Dermatology Clinic of Muncie, Inc.
Muncie, IN 47304-2243

Phone

(765) 288-8188

Fax

(765) 282-7242

NPI assigned

Jun 15, 2006

Last updated

Mar 25, 2016By the provider in NPPES

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 IN

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, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Marion General Hospital Hospital, Marion, IN, CCN 150011
• Indiana University Health Ball Memorial Hospital Hospital, Muncie, IN, CCN 150089

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Dermatology Clinic of Muncie, Inc.

  • Dermatology Physician
  • Muncie, IN
  • NPI 1477647303
  Medicare reassignment
• Albert C. Lee, M.D., P.C.

  dba Indiana Neurology Specialty Care

  • Neurology Physician
  • Lafayette, IN
  • NPI 1013047042
  NPD (past)

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

• Indiana University Health Ball Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Muncie, IN
  • NPI 1225195340
  Care Compare affiliation
• Marion General Hospital

  • General Acute Care Hospital
  • Gas City, IN
  • NPI 1760186373
  Care Compare affiliation
• Marion General Hospital

  • General Acute Care Hospital
  • Marion, IN
  • NPI 1770679201
  Care Compare affiliation
• Marion General Hospital

  dba Marion General Hospital Nutritional Support

  • Nutrition Support Registered Nurse
  • Marion, IN
  • NPI 1861578072

  Hospital

  Care Compare affiliation
• Marion General Hospital

  dba Marion General Hospital Ambulance Service

  • Land Ambulance
  • Marion, IN
  • NPI 1932295466

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458864000000",
    "number": "1487698072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 WEST ROYALE DRIVE",
            "address_2": "DERMATOLOGY CLINIC OF MUNCIE, INC.",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473042243",
            "telephone_number": "765-288-8188",
            "fax_number": "765-282-7242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 WEST ROYALE DRIVE",
            "address_2": "DERMATOLOGY CLINIC OF MUNCIE, INC.",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473042243",
            "telephone_number": "765-288-8188",
            "fax_number": "765-282-7242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERNYAK",
        "first_name": "GENNADY",
        "middle_name": "P",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2016-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10000699A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT CERT",
            "identifier": "10000699A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles E Wilson (Wilson's Hearing Aid Center)
• Brett Charles
• Paige Alison Chastain, BA, MA
• Connie Chen, MD
• Makayla Cheng
• James Vincent Cheslik, RPH
• Jamie Lee Childers, DMD
• Sabrina E Childers, PA-C
• Chiropractic Institute of Health and Wellness
• Kari Alyssa Choate, NP

• Physician Assistant in Muncie, IN
• Providers in Muncie, IN by specialty
• Physician Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2016; 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.