Individual provider Active NPI

Vadim Korogoda

  • Certified Registered Nurse Anesthetist
  • High Point, NC
National Provider Identifier
1851778005
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
6327 Issued in NC
Practice address
4534 Fallowood Ter
High Point, NC 27265-9495
Phone
(336) 875-6530
NPI assigned
Apr 27, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 6327 NC Primary
Certified Registered Nurse Anesthetist 367500000X 103691 NC
Certified Registered Nurse Anesthetist 367500000X 576032 NY

Addresses

Primary practice location

4534 Fallowood Ter
High Point, NC 27265-9495

Mailing address

601 N Elm St
High Point, NC 27262-4331
Phone (336) 875-6530

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address VKOROGODA828330@DIRECT.NOVANTHEALTH.ORG

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150911001049 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 0941517700 Reassigns benefits to 3 organizations
I20200824000120 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 0941517700 Reassigns benefits to 14 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wake Forest University Health SciencesGroup PAC ID 4486564952, 2,633 clinicians

Practice addresses (Care Compare)

601 N Elm St
High Point, NC 27262-4331
Phone (336) 716-2734

Hospital & facility affiliations

  • High Point Regional Health System Hospital, High Point, NC, CCN 340004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
6327NCMDOccupational Therapy Assistant
103691NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest University Health Sciences CurrentSince Jul 1, 2025 Accepting new patients
Novant Health Mint Hill Medical Center, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 28, 2020 Accepting new patients
Presbyterian Sameday Surgery Center at Ballantyne LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 28, 2020 Accepting new patients
Novant Health Rowan Medical Center, LLC CurrentSince Sep 28, 2020 Accepting new patients
Novant Health Kernersville Outpatient Surgery LLC Current Accepting new patients
Presbyterian Sameday Surgery Center at Huntersville LLC CurrentSince Sep 28, 2020 Accepting new patients
Presbyterian Sameday Surgery Center at Huntersville LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 28, 2020 Accepting new patients
Novant Health Matthews Medical Center LLC CurrentSince Sep 28, 2020 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Sep 28, 2020 Accepting new patients
Carolina Anesthesiology, PA CurrentSince Aug 1, 2020 Accepting new patients
Forsyth Memorial Hospital, Inc. Nurse Anesthetist, Certified Registered CurrentSince Sep 28, 2020 Accepting new patients
Novant Health Rowan Medical Center LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Great Lakes Surgical Associates, P.C. CurrentSince Aug 6, 2018 Accepting new patients
The Presbyterian Hospital CurrentSince Sep 28, 2020 Accepting new patients
Brunswick Community Hospital, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 28, 2020 Accepting new patients
Rowan Regional Medical Center CurrentSince Sep 28, 2020 Accepting new patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
The Presbyterian Hospital CurrentSince Sep 28, 2020 Accepting new patients
Novant Health Clemmons Outpatient Surgery, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 28, 2020 Accepting new patients
Novant Health Clemmons Outpatient Surgery, LLC CurrentSince Sep 28, 2020 Accepting new patients
Medical Park Hospital LLC CurrentSince Sep 28, 2020 Accepting new patients
The Presbyterian Hospital Current Accepting new patients
Novant Health Thomasville Medical Center, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 28, 2020 Accepting new patients
Eastern Niagara Medical Group PC CurrentSince Jan 2, 2018 Accepting new patients
Novant Health Thomasville Medical Center LLC CurrentSince Sep 28, 2020 Accepting new patients
Presbyterian Sameday Surgery Center at Ballantyne LLC Current Accepting new patients
Medical Park Hospital LLC CurrentSince Sep 28, 2020 Accepting new patients
Novant Health Kernersville Outpatient Surgery LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 28, 2020 Accepting new patients
Niagara Frontier Anesthesia Services LLP Nurse Anesthetist, Certified Registered CurrentSince Aug 19, 2019 Accepting new patients

Locations

240 Hospital Dr NE
Bolivia, NC 28422
Phone (336) 399-7678

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

14215 Ballantyne Corporate Pl
Ste 210
Charlotte, NC 28277
Phone (704) 316-2650

8201 Healthcare Loop
Charlotte, NC 28215
Phone (980) 302-1000

7210 Village Medical Cir
Ste 235
Clemmons, NC 27012
Phone (336) 893-3100

601 N Elm St
High Point, NC 27262
Phone (336) 878-6419

401 Ferndale Blvd
High Point, NC 27262
Phone (336) 882-2567

10030 Gilead Rd
Huntersville, NC 28078
Phone (704) 316-4000

1730 Kernersville Medical Pkwy
Ste 304
Kernersville, NC 27284
Phone (336) 515-7000

1500 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 384-6500

612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000

207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000

1950 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 718-0600

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947

2372 Sweet Home Rd
Ste 3
Buffalo, NY 14228

160 East Ave
Lockport, NY 14094
Phone (716) 434-6141

200 Ohio St
Medina, NY 14103
Phone (585) 798-2000

5300 Military Rd
Stela Niagara, NY 14092
Phone (716) 297-4800

Interoperability endpoints

  • Direct secure messaging: vkorogoda828330@direct.novanthealth.org

Organizations & group practices 29

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.

View all 29

Hospital & facility affiliations 1

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": "1430092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1851778005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N ELM ST",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272624331",
            "telephone_number": "336-875-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4534 FALLOWOOD TER",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272659495",
            "telephone_number": "336-875-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOROGODA",
        "first_name": "VADIM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-27",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "6327",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "103691",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "576032",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "VKOROGODA828330@DIRECT.NOVANTHEALTH.ORG",
            "affiliation": "N",
            "address_1": "30 S Cayuga Rd",
            "city": "Williamsville",
            "state": "NY",
            "country_code": "US",
            "postal_code": "142216728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.