Active NPI
Alla Korennaya, M.D.
- Neurology Physician
- Cumberland, RI
National Provider Identifier
1669433942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 09358
- Practice address
- 175 Nate Whipple Hwy
Cumberland, RI 02864-1416 - Phone
- (401) 658-3600
- Fax
- (401) 405-0586
- NPI assigned
- Mar 28, 2006
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 09358 | RI | Primary |
Addresses
Primary practice location
175 Nate Whipple Hwy
Cumberland, RI 02864-1416
Mailing address
175 Nate Whipple Hwy
Cumberland, RI 02864-1416
Phone (401) 658-3600
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009358 | Other | RI | TUFTS HEALTH PLAN |
| 1795 | Other | RI | NEIGHBORHOOD HEALTH PLAN |
| 9020432 | Medicaid | RI | |
| 130019637 | Other | RI | RAILROAD MEDICARE |
| 401008 | Other | RI | BLUE CHIP |
| 720065101 | Other | RI | CIGNA HELATH CARE |
| 0500012 | Other | RI | UNITEDHEALTH CARE |
| 204321 | Other | RI | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- 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 |
|---|---|---|---|---|
| I20090710000038 | RI | Practitioner - Neurology | 4082766795 | Practice locations: Cumberland, RI |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09358 | RI | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211328000000",
"number": "1669433942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 NATE WHIPPLE HWY",
"city": "CUMBERLAND",
"state": "RI",
"postal_code": "028641416",
"telephone_number": "401-658-3600",
"fax_number": "401-405-0586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 NATE WHIPPLE HWY",
"city": "CUMBERLAND",
"state": "RI",
"postal_code": "028641416",
"telephone_number": "401-658-3600",
"fax_number": "401-405-0586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORENNAYA",
"first_name": "ALLA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-28",
"last_updated": "2008-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "RI",
"license": "09358",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "009358",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "1795",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9020432",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "130019637",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "401008",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HELATH CARE",
"identifier": "720065101",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITEDHEALTH CARE",
"identifier": "0500012",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "204321",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cumberland, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.