Matthew Thomas Koroscil, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

35135125 Issued in OH

Practice address

4881 Sugar Maple Dr BLDG 830
Wright Patterson Afb, OH 45433-5529

Phone

(210) 916-2153

Fax

(210) 916-0709

NPI assigned

Apr 11, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Pulmonary Disease

Education

Wright State University Boonshoft School of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Pulmonary and Critical Care Consultants, IncGroup PAC ID 9234115379, 34 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Miami Valley Hospital Hospital, Dayton, OH, CCN 360051
• Upper Valley Medical Center Hospital, Troy, OH, CCN 360174
• Springfield Regional Medical Center Hospital, Springfield, OH, CCN 360086

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Pulmonary & Critical Care Consultants, Inc

  • Pulmonary Disease Physician
  • Dayton, OH
  • NPI 1861432379
  Medicare reassignment Care Compare group NPD
• Usacs Critical Care Medicine Services of Ohio, LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Springfield, OH
  • NPI 1104560580
  Medicare reassignment NPD
• Miami Valley Hospital

  • General Acute Care Hospital
  • Dayton, OH
  • NPI 1073688354
  NPD (past)

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

• Community Mercy Health Partners

  • General Acute Care Hospital
  • Springfield, OH
  • NPI 1144286402
  Care Compare affiliation
• Community Mercy Health Partners

  • Clinical Medical Laboratory
  • Springfield, OH
  • NPI 1477217297

  Hospital

  Care Compare affiliation
• Miami Valley Hospital

  • General Acute Care Hospital
  • Dayton, OH
  • NPI 1073688354
  Care Compare affiliation
• Upper Valley Medical Center

  • General Acute Care Hospital
  • Troy, OH
  • NPI 1184638942
  Care Compare affiliation

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1518224872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4881 SUGAR MAPLE DR BLDG 830",
            "city": "WRIGHT PATTERSON AFB",
            "state": "OH",
            "postal_code": "454335529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4881 SUGAR MAPLE DR BLDG 830",
            "city": "WRIGHT PATTERSON AFB",
            "state": "OH",
            "postal_code": "454335529",
            "telephone_number": "210-916-2153",
            "fax_number": "210-916-0709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOROSCIL",
        "first_name": "MATTHEW",
        "middle_name": "THOMAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-11",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101255503",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OH",
            "license": "35135125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aria Klein, CRNA
• Joseph Kluesner, M.D.
• Kara Jean Knickerbocker, D.O.
• Beverley Sue Knight-Stukenborg
• Nancy J Koets, PSYD
• Alex Daniel Krehbiel
• Andrea Elaine Krunnfusz, PHD
• Joseph Maurice Kuebker, M.D.
• Timothy James Kuehl, D.C.
• Christian Charles Lamb

• Pulmonary Disease Physician in Wright Patterson Afb, OH
• Providers in Wright Patterson Afb, OH by specialty
• Pulmonary Disease Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.