Provider Type Icon

DR. JAN ROMAN KORNILOW M.D. NPI 1487653515


NPI Information

NPI: 1487653515
Provider Name: DR. JAN ROMAN KORNILOW, M.D.
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2401 W UNIVERSITY AVE
MUNCIE, IN
ZIP 47303
Phone: (260) 969-1950
Get Directions

DR. Jan Roman Kornilow, M.D. is an emergency medicine in Muncie, IN with 30 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. DR. Jan Roman Kornilow, M.D. NPI is 1487653515. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: R FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Graduation Year:1994

The provider's business location address is:

2401 W UNIVERSITY AVE
MUNCIE, IN
ZIP 47303-428
Phone: (260) 969-1950

The NPI 1487653515 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of skin and tissue first 20 sq cm or less (HCPCS:11042)
  • Removal of skin and tissue (HCPCS:11045)
  • Removal of tissue from wounds per session (HCPCS:97597)
  • Ultrasound study of arteries of both arms and legs (HCPCS:93922)

The enumeration date for this NPI number is 7/20/2005 and was last updated on 2/8/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency Medicine01046719AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000000626585OTHERINDIANAANTHEM BC/BS
2P00742238OTHERINDIANARAILROAD MEDICARE
3000000658168OTHERINDIANAANTHEM BC/BS
4P00841049OTHERINDIANARAILROAD MEDICARE
5200173100AMEDICAIDINDIANA
6P00730932OTHERINDIANARAILROAD MEDICARE
7000000082488OTHERINDIANABLUE CROSS/BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.