MILL BASIN MEDICAL SERVICES PC
NPI 1164454658
Specialist in White Plains, NY
About Mill Basin Medical Services Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MILL BASIN MEDICAL SERVICES PC (NPI 1164454658) is a healthcare organization registered as a specialist in White Plains, New York and active in the NPI registry since July 2006. The organization lists Corey Korba, Billing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mill Basin Medical Services Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Mill Basin Medical Services PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Mill Basin Medical Services PC's NPI number?
The NPI number for Mill Basin Medical Services PC is 1164454658. It was assigned to this organization in the NPPES registry on July 7, 2006.
Where is Mill Basin Medical Services PC located?
Mill Basin Medical Services PC is located at 222 Bloomingdale Rd Suite 400, White Plains, NY 10605. The listed phone number is (914) 644-9276.
What is Mill Basin Medical Services PC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Mill Basin Medical Services PC enrolled in Medicare?
Yes. Mill Basin Medical Services PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mill Basin Medical Services PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nephrology) reassigns their Medicare billing to Mill Basin Medical Services PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mill Basin Medical Services PC was last updated on April 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Mill Basin Medical Services Pc · NPI 1164454658
Specialist organization in White Plains, New York. Organization record, active in the CMS NPPES registry since July 7, 2006.
## Identity
- **NPI:** 1164454658 (Entity type: Organization)
- **Enumerated:** July 7, 2006
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Corey Korba, BILLING MANAGER
## Practice location
- **Address:** 222 BLOOMINGDALE RD, SUITE 400, White Plains, NY 10605-1513
- **Phone:** (914) 644-9276
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nephrology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 22, 2008
- **Other identifiers:** Medicare PIN W07021 (NY); Medicaid 00725457 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1164454658) · Data from the CMS NPPES public registry.