Philip Kurochkin, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

01090442A Issued in IN

Practice address

303 S Main St Ste 215
Mishawaka, IN 46544-2160

Phone

(574) 291-4000

Fax

(260) 279-3211

NPI assigned

Jun 8, 2017

Last updated

Jan 18, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WV, IN, IL3 enrollments

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 3

Specialty

Ophthalmology

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Retina Vitreous Associates, PCGroup PAC ID 5294882957, 6 clinicians

Retina Associates, PCGroup PAC ID 1951438076, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hospital of South Bend Hospital, South Bend, IN, CCN 150058
• St Mary Medical Center Inc Hospital, Hobart, IN, CCN 150034

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pkurochkin271192@direct.wvuhsdirect.com

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.

• North Indiana Retina LLC

  • Ophthalmology Physician
  • Mishawaka, IN
  • NPI 1316822216
  Medicare reassignment NPD Authorized official
• Retina Associates, PC

  • Ophthalmology Physician
  • Merrillville, IN
  • NPI 1245233014
  Medicare reassignment Care Compare group NPD
• Retina Vitreous Associates, PC

  • Ophthalmology Physician
  • Oak Lawn, IL
  • NPI 1194711655
  Medicare reassignment Care Compare group NPD
• United Physicians Care Inc

  dba Pinewood Medical Center

  • Family Medicine Physician
  • Grafton, WV
  • NPI 1891863874
  NPD (past)

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

• Memorial Hospital of South Bend

  • General Acute Care Hospital
  • South Bend, IN
  • NPI 1295772093
  Care Compare affiliation
• Memorial Hospital of South Bend

  dba Memorial Epworth Center

  • Psychiatric Hospital Unit
  • South Bend, IN
  • NPI 1376841395
  Care Compare affiliation
• Memorial Hospital of South Bend

  dba Beacon Granger Hospital, A Memorial Hospital Extension

  • General Acute Care Hospital
  • Granger, IN
  • NPI 1881177756
  Care Compare affiliation
• St Mary Medical Center Inc

  • General Acute Care Hospital
  • Hobart, IN
  • NPI 1558463745
  Care Compare affiliation
• St Mary Medical Center Inc

  dba St Mary Wound Clinic

  • General Acute Care Hospital
  • Hobart, IN
  • NPI 1962504175
  Care Compare affiliation

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768694400000",
    "number": "1962931303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 S MAIN ST STE 215",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465442160",
            "telephone_number": "574-291-4000",
            "fax_number": "260-279-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S MAIN ST STE 215",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465442160",
            "telephone_number": "574-291-4000",
            "fax_number": "260-279-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUROCHKIN",
        "first_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-08",
        "last_updated": "2026-01-18",
        "certification_date": "2026-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01090442A",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036166881",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandria Christine Kumfer
• Victoria Kumfer
• Chelsea Kummeth
• Camille M Kureth, M.D.
• Paul N Kuria, DNP
• Jeffrey Kviz, RN
• April Kwiatkowski
• Destany Kyle
• Dung Trina La, PHARMD
• Labcorp Indiana Inc

• Ophthalmology Physician in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Ophthalmology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.