Individual provider Active NPI

Yelena Korotkaya, MD

  • Obstetrics & Gynecology Physician
  • Los Angeles, CA
National Provider Identifier
1962829218
Registry record updated Aug 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A15440 Issued in CA
Practice address
200 UCLA Medical PLZ
Los Angeles, CA 90095
Phone
(310) 794-7274
NPI assigned
Mar 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A15440 CA Primary

Addresses

Primary practice location

200 UCLA Medical PLZ
Los Angeles, CA 90095

Mailing address

5767 W Century Blvd
Los Angeles, CA 90045-5631
Phone (310) 301-8774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20200826000151 NY Practitioner - Obstetrics/Gynecology 9133470644 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
State University of New York Downstate Medical Center, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

27005 75TH Ave
New Hyde Park, NY 11040-1402
Phone (718) 470-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A15440CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood of Greater New York Inc CurrentSince Oct 4, 2020 Accepting new patients
Planned Parenthood of the Southern Finger Lakes Inc. PastSince Oct 4, 2020 Accepting new patients
Regents of the University of California PastSince Sep 6, 2020 Accepting new patients
UC Regents Past Accepting new patients

Locations

7100 Van Nuys Blvd
Ste 108
Van Nuys, CA 91405
Phone (213) 284-3119

44 Court St
Fl 6
Brooklyn, NY 11201
Phone (718) 852-6879

110 School St
Glen Cove, NY 11542

540 Fulton Ave
Hempstead, NY 11550
Phone (516) 750-2600

2141 45th Rd
Long Island City, NY 11101
Phone (212) 965-7000

35 Carmans Rd
Massapequa, NY 11758

543 Bay Rd
Queensbury, NY 12804
Phone (518) 761-2663

Networks

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

Interoperability endpoints

  • Direct secure messaging: yelenakorotkaya@nslijmedgr.allscriptsdirect.net
  • Direct secure messaging: yelena.korotkayamd.p1@direct.plannedparenthoodla.nextgenshare.com

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 and National Provider Directory roles.

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": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1962829218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631",
            "telephone_number": "310-301-8774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 UCLA MEDICAL PLZ",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90095",
            "telephone_number": "310-794-7274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOROTKAYA",
        "first_name": "YELENA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-25",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A15440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.