Individual provider Active NPI

Danny Antoine Korkmaz, M.D.

  • Cardiovascular Disease Physician
  • Manchester, CT
National Provider Identifier
1699967349
Registry record updated May 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
045789 Issued in CT
Practice address
18 Haynes St
Manchester, CT 06040-4111
Phone
(860) 649-7557
Fax
(860) 646-0844
NPI assigned
Aug 16, 2007
Last updated
May 7, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 045789 CT
Cardiovascular Disease Physician 207RC0000X 045789 CT Primary

Addresses

Primary practice location

18 Haynes St
Manchester, CT 06040-4111

Mailing address

18 Haynes St
Manchester, CT 06040-4111
Phone (860) 649-7557

Other identifiers 1

IdentifierTypeStateIssuer
D400327252OtherCTMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20080108000206 CT Practitioner - Cardiovascular Disease (Cardiology) 5597845289 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prospect CT Medical Foundation IncGroup PAC ID 7416244496, 287 clinicians
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

18 Haynes St
Uppr Level
Manchester, CT 06040-4111
Phone (860) 649-7557

29 Haynes St
Manchester, CT 06040-4139
Phone (860) 547-0616

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
045789CTMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc Cardiovascular Disease CurrentSince Aug 1, 2009 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Aug 1, 2009 Accepting new patients
Medical Access P.C. Current Accepting new patients
Prospect CT Medical Foundation, Inc. CurrentSince Sep 1, 2016 Accepting new patients

Locations

1801 W Olympic Blvd
#2201
Pasadena, CA 91199

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

18 Haynes St
Manchester, CT 06040
Phone (860) 646-4797

18 Haynes St
Uppr
Manchester, CT 06040
Phone (860) 649-7557

29 Haynes St
Manchester, CT 06040
Phone (860) 533-2903

29 Haynes St
Ste D
Manchester, CT 06040
Phone (860) 533-4678

6 Fieldstone Cmns
Ste D
Tolland, CT 06084
Phone (860) 871-6710

Interoperability endpoints

  • Direct secure messaging: dannykorkmaz@mpp.allscriptsdirect.net

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525651200000",
    "number": "1699967349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 HAYNES ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404111",
            "telephone_number": "860-649-7557",
            "fax_number": "860-646-0844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 HAYNES ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404111",
            "telephone_number": "860-649-7557",
            "fax_number": "860-646-0844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORKMAZ",
        "first_name": "DANNY",
        "middle_name": "ANTOINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-16",
        "last_updated": "2018-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CT",
            "license": "045789",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "045789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "D400327252",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

Verify at the official NPI Registry.