Individual provider Active NPI

Anna M Korkis, MD

  • Gastroenterology Physician
  • Ridgewood, NJ
National Provider Identifier
1912014887
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MA054387 Issued in NJ
Practice address
200 S Broad St
Ridgewood, NJ 07450-5003
Phone
(201) 444-0009
Fax
(201) 444-2181
NPI assigned
Aug 24, 2006
Last updated
Nov 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MA054387 NJ Primary

Addresses

Primary practice location

200 S Broad St
Ridgewood, NJ 07450-5003

Mailing address

200 S Broad St
Ridgewood, NJ 07450-5003
Phone (201) 444-0009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20110331000166 NJ Practitioner - GastroenterologyPractitioner - Internal Medicine 5991988891 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of Virginia School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 S Broad St
Ridgewood, NJ 07450-5003
Phone (201) 444-0009

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.42 of 100Reported as individual
Quality
98.65
Improvement activities
40
Cost
73.2

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy148
Upper gastrointestinal (GI) endoscopy for acid reflux36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA054387NJMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anna M. Korkis MD PA Gastroenterology CurrentSince Nov 7, 1991 Accepting new patients
Gastroenterology Diagnostics of Northern New Jersey, PA Gastroenterology PastSince Jun 1, 2022 Accepting new patients

Locations

200 S Broad St
Ridgewood, NJ 07450
Phone (201) 444-0009

206 Dayton St
Ridgewood, NJ 07450
Phone (201) 444-0009

Interoperability endpoints

  • Direct secure messaging: akorkis@76e8846a.micromddirect.com

Organizations & group practices 2

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 2

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1912014887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S BROAD ST",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074505003",
            "telephone_number": "201-444-0009",
            "fax_number": "201-444-2181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S BROAD ST",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074505003",
            "telephone_number": "201-444-0009",
            "fax_number": "201-444-2181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORKIS",
        "first_name": "ANNA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "MA054387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

Verify at the official NPI Registry.