COLIN MCCORKLE
NPI 1356831978
Student in an Organized Health Care Education/Training Program in Lutherville, MD

Active since May 18, 2018PECOS Enrolled
20 TREADWELL CT, LUTHERVILLE, MD 21093(443) 608-9149 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 16, 2026, Aug 8, 2023, Jun 23, 2021 and 1 more (4 updates tracked since 2018).

About Colin Mccorkle NPPES

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

COLIN MCCORKLE (NPI 1356831978) is an individual student in an organized health care education/training program in Lutherville, Maryland, licensed in Michigan (4351051027) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356831978
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCOLIN MCCORKLE
Location Address20 TREADWELL CTLutherville, MD 21093-3764
Mailing Address20 Treadwell CtLutherville, MD 21093-3764 · (443) 608-9149
Sole ProprietorYes
Enumeration DateMay 18, 2018
Last NPPES UpdateJuly 16, 20264 updates tracked since enumeration
NPPES CertifiedJuly 16, 2026
✔ NPI 1356831978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Taxonomy Code390200000X
License✔ Licensed in MI · 4351051027
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 62090 (KY)
Also ListedOtolaryngologyTaxonomy 207Y00000X · License 9133 (NE)
20 TREADWELL CT, Lutherville, MD 21093

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Colin Mccorkle 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.

Medicare Billing Reassignment

Medicare enrollment records show Colin Mccorkle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Emergency Medicine
2201 LEXINGTON AVE
Ashland, KY 41101
  • Reassigned Medicare billing, Kentucky enrollment
  • 64 clinicians in this Medicare group

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 Colin Mccorkle's NPI number?

The NPI number for Colin Mccorkle is 1356831978. It was assigned to this individual provider in the NPPES registry on May 18, 2018.

Where is Colin Mccorkle located?

Colin Mccorkle practices at 20 Treadwell Ct, Lutherville, MD 21093. The listed phone number is (443) 608-9149.

What is Colin Mccorkle's specialty?

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

Is Colin Mccorkle enrolled in Medicare?

Yes. Colin Mccorkle is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Colin Mccorkle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Colin Mccorkle reassigns Medicare benefits to West Fairview Emergency Physicians LLC (Ashland, KY). The 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 Colin Mccorkle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Colin Mccorkle was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.