Individual provider Active NPI

Daniel Kormylo, DPM

  • Podiatrist
  • Rocky Point, NY
National Provider Identifier
1699776674
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N004250 Issued in NY
Practice address
745 RT 25a
Suite B
Rocky Point, NY 11778-0969
Phone
(631) 744-8282
Fax
(631) 821-5583
NPI assigned
Aug 2, 2005
Last updated
Mar 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N004250 NY Primary

Addresses

Primary practice location

745 RT 25a
Suite B
Rocky Point, NY 11778-0969

Mailing address

PO Box 5153
Rocky Point, NY 11778-0969
Phone (631) 744-8282

Other identifiers 3

IdentifierTypeStateIssuer
01070722MedicaidNY
480008364OtherMEDICARE RAILROAD
1049990002OtherNYMEDICARE DME

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DkormyloDPM@DKD.NY.direct.office.nextgen.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20061116000308 NY Practitioner - Podiatry 1850399338 Practice locations: Rocky Point, NY
O20100930054573 NY DME Supplier - Physician - Podiatry 5395865539 Practice locations: Rocky Point, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

745 Route 25a B
Box 5153
Rocky Point, NY 11778-0969
Phone (631) 744-8282

745 RT
25A Suite B
Rocky Point, NY 11778-0969

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue74
Removal of skin lesions15
Removal of nail tissue2192
Removal or shaving of skin growth1366
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N004250NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel Kormylo, DPM Past Accepting new patients

Networks

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

Interoperability endpoints

  • Direct secure messaging: dkormylo504476@nyumc.direct-ci.com
  • Direct secure messaging: dkormylodpm@dkd.ny.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1699776674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5153",
            "city": "ROCKY POINT",
            "state": "NY",
            "postal_code": "117780969",
            "telephone_number": "631-744-8282",
            "fax_number": "631-821-5583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 RT 25A",
            "address_2": "SUITE B",
            "city": "ROCKY POINT",
            "state": "NY",
            "postal_code": "117780969",
            "telephone_number": "631-744-8282",
            "fax_number": "631-821-5583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORMYLO",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N004250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01070722",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "480008364",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "1049990002",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DkormyloDPM@DKD.NY.direct.office.nextgen.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "745 Rt 25A",
            "address_2": "Suite B",
            "city": "Rocky Point",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117780969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rocky Point, NY

Sources for this page

Verify at the official NPI Registry.