Active NPI
Thomas Andrew Koroscil
- Hospitalist Physician
- Dayton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 35.132209
- Practice address
- 128 E Apple St
2ND Floor
Dayton, OH 45409-2902 - Phone
- (937) 208-2004
- Fax
- (937) 208-8828
- NPI assigned
- Mar 28, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35.132209 | OH | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Hospitalist Physician | 208M00000X | 35.132209 | OH | Primary |
Addresses
Primary practice location
128 E Apple St
2ND Floor
Dayton, OH 45409-2902
Mailing address
128 E Apple St
2ND Floor
Dayton, OH 45409-2902
Phone (937) 208-2004
Other practice location 1
30 E Apple St Ste Nw3300
Dayton, OH 45409-2939
Phone (937) 208-8394
Other practice location 2
3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 395-6665
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0249382 | Medicaid | OH |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tkoroscil595555@direct.ketteringhealth.org | ||
| FHIR URL | https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 395-8646
4403 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 433-5309
4441 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 298-7751
600 W Main St
Troy, OH 45373-3384
Hospital & facility affiliations
- Kettering Health Troy
- Kettering Health Main Campus
- Kettering Health Dayton
- Dublin Methodist Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.34 of 100
- Quality
- 63.67
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.14
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.132209 | OH | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mvhe Inc | Internal Medicine | Current | Accepting new patients |
| Mvhe Inc | Internal Medicine | Current | Accepting new patients |
| Ascension NE Wisconsin, Inc | Current | Accepting new patients | |
| Ascension Medical Group-Southeast Wisconsin Inc | Internal Medicine | Current | Accepting new patients |
| Mvhe Inc | Internal Medicine | Current | Accepting new patients |
| Ohiohealth Corporation | Current | Accepting new patients | |
| Kettering Independent Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Ascension Medical Group-Fox Valley Wisconsin, Inc | Current | Accepting new patients | |
| Ascension Medical Group-Fox Valley Wisconsin, Inc | Current | Accepting new patients | |
| Ascension NE Wisconsin, Inc | Current | Accepting new patients | |
| Ohiohealth Corporation | Internal Medicine | Current | Accepting new patients |
| Kettering Medical Center | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108
Dept L3652
Columbus, OH 43260
405 W Grand Ave
Dayton, OH 45405
Phone (937) 226-3200
2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831
1 Wyoming St
Ste 4130
Dayton, OH 45409
Phone (937) 208-6810
30 E Apple St
Ste NW3300
Dayton, OH 45409
Phone (937) 208-8394
561 W Central Ave
Delaware, OH 43015
Phone (614) 566-9983
3535 Southern Blvd
Kettering, OH 45429
Phone (937) 298-1221
4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910
1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950
1501 S Madison St
Appleton, WI 54915
Phone (920) 730-4435
13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400
400 W River Woods Pkwy
Glendale, WI 53212
Phone (414) 465-3000
5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089
2700 W 9th Ave
Oshkosh, WI 54904
Phone (920) 223-0220
201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228
Organizations & group practices 13
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.
-
- Orthopaedic Surgery Physician
- Miamisburg, OH
- NPI 1629387865
Internal Medicine
-
- Multi-Specialty Clinic/Center
- Neenah, WI
- NPI 1730126392
-
- Internal Medicine Physician
- Glendale, WI
- NPI 1609881077
-
- General Acute Care Hospital
- Appleton, WI
- NPI 1407803638
-
- Internal Medicine Physician
- Middletown, OH
- NPI 1497154827
-
- Anesthesiology Physician
- Columbus, OH
- NPI 1407292105
-
- Cardiovascular Disease Physician
- Appleton, WI
- NPI 1831890177
-
- General Acute Care Hospital
- Oshkosh, WI
- NPI 1912527193
-
- General Acute Care Hospital
- Troy, OH
- NPI 1023587045
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1053339507
-
- General Acute Care Hospital
- Troy, OH
- NPI 1023587045
-
- General Acute Care Hospital
- Kettering, OH
- NPI 1043233984
-
- General Acute Care Hospital
- Dublin, OH
- NPI 1801937008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683244800000",
"number": "1588058408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 E APPLE ST",
"address_2": "2ND FLOOR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454092902",
"telephone_number": "937-208-2004",
"fax_number": "937-208-8828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 E APPLE ST",
"address_2": "2ND FLOOR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454092902",
"telephone_number": "937-208-2004",
"fax_number": "937-208-8828"
}
],
"practiceLocations": [
{
"address_1": "30 E Apple St Ste Nw3300",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454092939",
"country_code": "US",
"telephone_number": "937-208-8394",
"fax_number": "937-208-8388",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3535 Southern Blvd",
"address_purpose": "LOCATION",
"city": "Kettering",
"state": "OH",
"postal_code": "454291221",
"country_code": "US",
"telephone_number": "937-395-6665",
"fax_number": "937-395-6668",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOROSCIL",
"first_name": "THOMAS",
"middle_name": "ANDREW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-28",
"last_updated": "2023-05-05",
"certification_date": "2023-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35.132209",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "OH",
"license": "35.132209",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0249382",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tkoroscil595555@direct.ketteringhealth.org",
"affiliation": "N",
"address_1": "3535 Southern Blvd",
"city": "Kettering",
"state": "OH",
"country_code": "US",
"postal_code": "454291221",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "3535 Southern Blvd",
"city": "Kettering",
"state": "OH",
"country_code": "US",
"postal_code": "454291221",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; 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.