Individual provider Active NPI

Larry Koreen, MD, PHD, MPH

  • Ophthalmology Physician
  • Newburgh, NY
National Provider Identifier
1619174554
Registry record updated Aug 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
2010-00676 Issued in NC
Practice address
450 Gidney Ave
Newburgh, NY 12550-3116
Phone
(845) 562-1100
Fax
(845) 562-1162
NPI assigned
Jul 2, 2007
Last updated
Aug 31, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 2010-00676 NC Primary

Addresses

Primary practice location

450 Gidney Ave
Newburgh, NY 12550-3116

Mailing address

450 Gidney Ave
Newburgh, NY 12550-3116
Phone (845) 562-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20121018000153 NY Practitioner - Ophthalmology 9830220458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-Hudson Ophthalmological Retina Consultants, PLLCGroup PAC ID 9739079955, 3 clinicians

Practice addresses (Care Compare)

450 Gidney Ave
Newburgh, NY 12550-3116
Phone (845) 562-1100

Merit-based Incentive Payment System (MIPS)

Final score
93.25 of 100Reported as group
Quality
86.5
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2010-00676NCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Hudson Ophthalmological Retina Consultants, PLLC CurrentSince Oct 1, 2012 Accepting new patients

Locations

75 Crystal Run Rd
Ste 101
Middletown, NY 10941
Phone (845) 692-7200

450 Gidney Ave
Newburgh, NY 12550
Phone (845) 562-1100

450 Gidney Ave
Ste 202
Newburgh, NY 12550

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346371200000",
    "number": "1619174554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 GIDNEY AVE",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503116",
            "telephone_number": "845-562-1100",
            "fax_number": "845-562-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 GIDNEY AVE",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503116",
            "telephone_number": "845-562-1100",
            "fax_number": "845-562-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOREEN",
        "first_name": "LARRY",
        "name_prefix": "Dr.",
        "credential": "MD, PHD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-02",
        "last_updated": "2012-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "2010-00676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

Verify at the official NPI Registry.