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SAMANTHA LEIGH KORYCINSKI M.D.
NPI 1003348475
Student in an Organized Health Care Education/Training Program in Ann Arbor, MI

Active since April 03, 2017PECOS Enrolled
325 E EISENHOWER PKWY STE 200, ANN ARBOR, MI 48108(734) 615-6722 Get Directions Write a Review

NPPES record last updated: May 31, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samantha Leigh Korycinski M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA LEIGH KORYCINSKI M.D. (NPI 1003348475) is an individual student in an organized health care education/training program in Ann Arbor, Michigan and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Ann Arbor.

NPPES Registry Identity

NPI1003348475
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSAMANTHA LEIGH KORYCINSKICredential: M.D.
Location Address325 E EISENHOWER PKWY STE 200Ann Arbor, MI 48108
Mailing Address32951 Myrna CtLivonia, MI 48154-2972 · (734) 377-0801
Phone(734) 615-6722
Sole ProprietorYes
Enumeration DateApril 3, 2017
Last NPPES UpdateMay 31, 2019
✔ NPI 1003348475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
325 E EISENHOWER PKWY STE 200, Ann Arbor, MI 48108
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Secondary Practice Location 1

Location 1325 E Eisenhower Pkwy Ste 200Ann Arbor, MI 48108 · Phone (734) 615-6722

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Leigh Korycinski M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LUBNA AYOUBI MD
Student in an Organized Health Care Education/Training Program
325 E EISENHOWER PKWY STE 200
ANN ARBOR, MI 48108
Washtenaw County (734) 936-7175
LAURA FISHER
Physical Therapist (Orthopedic)
325 E EISENHOWER PKWY STE 200
ANN ARBOR, MI 48108
Washtenaw County (734) 763-6464
DR. ANDREW WILLIAM DEMKO MD
Physical Medicine & Rehabilitation
325 E EISENHOWER PKWY STE 200
ANN ARBOR, MI 48108
Washtenaw County (734) 936-7175
DR. MATTHEW VERNON BURNETT DO
Student in an Organized Health Care Education/Training Program
325 E EISENHOWER PKWY STE 200
ANN ARBOR, MI 48108
Washtenaw County (734) 712-3734
MAHTAB DARVISH MD
Student in an Organized Health Care Education/Training Program
325 E EISENHOWER PKWY STE 200
ANN ARBOR, MI 48108
Washtenaw County (734) 936-7175

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Korycinski's NPI number?

The NPI number for Samantha Korycinski is 1003348475. It was assigned to this individual provider in the NPPES registry on April 3, 2017.

Where is Samantha Korycinski located?

Samantha Korycinski practices at 325 E Eisenhower Pkwy Ste 200, Ann Arbor, MI 48108. The listed phone number is (734) 615-6722.

What is Samantha Korycinski's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Samantha Korycinski enrolled in Medicare?

Yes. Samantha Korycinski is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samantha Korycinski was last updated on May 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.