NPIMap

Individual provider Active NPI

Michael Richard Korczynski, DO

  • Diagnostic Radiology Physician
  • Orange, CA
National Provider Identifier
1962963801
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
20A23020 Issued in CA
Practice address
101 The City Dr S
Orange, CA 92868-3201
Phone
(714) 456-8888
NPI assigned
Mar 25, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 20A23020 CA Primary
Diagnostic Radiology Physician 2085R0202X DO3674 NV

Addresses

Primary practice location

101 The City Dr S
Orange, CA 92868-3201

Mailing address

200 S Manchester Ave Ste 300
Orange, CA 92868-3219

Other practice location 1

1800 W Charleston Blvd
Las Vegas, NV 89102-2386
Phone (702) 383-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230308000425 NV Practitioner - Diagnostic Radiology 9032446216 Reassigns benefits to 3 organizations
I20240815004324 CA Practitioner - Diagnostic Radiology 9032446216 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Touro Un Col of Osteopathic Medicine, Henderson, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Smi Imaging LLCGroup PAC ID 3476696220, 380 clinicians
University Medical Center of Southern NevadaGroup PAC ID 7315934429, 388 clinicians

Practice addresses (Care Compare)

10561 Jeffreys St
Suite 111
Henderson, NV 89052-4267
Phone (702) 832-0116

1800 W Charleston Blvd
Las Vegas, NV 89102-2329
Phone (702) 383-2000

3061 S Maryland Pkwy
Suite 102
Las Vegas, NV 89109-6226
Phone (702) 369-4570

3560 E Flamingo Rd
Suite 100
Las Vegas, NV 89121-5088
Phone (702) 433-6944

6301 Mountain Vista St
Suite 103
Henderson, NV 89014-2365
Phone (702) 433-7216

7455 W Washington Ave
Suite 120
Las Vegas, NV 89128-4338
Phone (702) 433-6455

7540 Oso Blanca Rd
Suite 140
Las Vegas, NV 89149-1417
Phone (702) 658-4300

7610 W Cheyenne Ave
Suite 100
Las Vegas, NV 89129-6761
Phone (702) 665-5195

8530 W Sunset Rd
Suite 120
Las Vegas, NV 89113-2244
Phone (702) 522-8780

861 Coronado Ctr Dr
Suite 101
Henderson, NV 89052-3992
Phone (702) 260-2120

9499 W Charleston Blvd
Suite 100
Las Vegas, NV 89117-7149
Phone (702) 304-0091

Hospital & facility affiliations

  • University Medical Center Hospital, Las Vegas, NV, CCN 290007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A23020CAMDDiagnostic Radiology Physician
DO3674NVMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Smi Imaging LLC Diagnostic Radiology CurrentSince Dec 21, 2025 Accepting new patients
University Medical Center of Southern Nevada CurrentSince Nov 27, 2024 Accepting new patients
Town Center Home Healthcare Inc. Current Accepting new patients
UC Regents Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
University Medical Center of Southern Nevada CurrentSince Nov 27, 2024 Accepting new patients
UC Regents Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Health Diagnostics of California a Professional Corporation Diagnostic Radiology CurrentSince Dec 17, 2025 Accepting new patients
University of California Irvine Past Accepting new patients

Locations

11190 Warner Ave
Ste 110
Fountain Vly, CA 92708
Phone (714) 431-0303

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

3061 S Maryland Pkwy
Ste 102
Las Vegas, NV 89109
Phone (702) 369-4570

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253

Interoperability endpoints

  • Direct secure messaging: michael.korczynski@hca3.eclinicaldirectplus.com

Organizations & group practices 9

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 12

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": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1962963801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S MANCHESTER AVE STE 300",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 THE CITY DR S",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683201",
            "telephone_number": "714-456-8888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 W Charleston Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891022386",
            "country_code": "US",
            "telephone_number": "702-383-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KORCZYNSKI",
        "first_name": "MICHAEL",
        "middle_name": "RICHARD",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-25",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "20A23020",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NV",
            "license": "DO3674",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.