Individual provider Active NPI

Jacqueline Marie Korpics, MD

  • Pediatrics Physician
  • San Francisco, CA
National Provider Identifier
1124432901
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
C202720 Issued in CA
Practice address
2100 Webster St Ste 110
San Francisco, CA 94115-2374
Phone
(415) 666-1860
NPI assigned
Jun 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 125-065497 IL
Pediatrics Physician 208000000X 036143314 IL
Public Health & General Preventive Medicine Physician 2083P0901X C202720 CA
Pediatrics Physician 208000000X C202720 CA Primary

Addresses

Primary practice location

2100 Webster St Ste 110
San Francisco, CA 94115-2374

Mailing address

2100 Webster St Ste 110
San Francisco, CA 94115-2374

Other practice location 1

1900 W Polk St
Chicago, IL 60612
Phone (312) 864-6000

Other practice location 2

8800 Lockwood
Skokie, IL 60077
Phone (847) 983-1400

Other identifiers 1

IdentifierTypeStateIssuer
036143314MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jkorpics@direct.ccprovider.org Direct Cook County

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201015000255 IL Practitioner - Pediatric Medicine 4284926833 Reassigns benefits to 1 organization
I20250703001904 CA Practitioner - Pediatric MedicinePractitioner - Other (Physician) 4284926833 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125-065497ILMDPediatrics Physician
C202720CAMDPublic Health & General Preventive Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cook County Pediatrics CurrentSince Oct 23, 2020 Accepting new patients
LPCH Medical Group Div of Lucile Pediatrics CurrentSince Jun 20, 2025 Accepting new patients
Cook County Current Accepting new patients
Cook County CurrentSince Oct 23, 2020 Accepting new patients

Locations

725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979

2100 Webster St
Ste 110
San Francisco, CA 94115
Phone (415) 600-7830

1900 W Polk St
Chicago, IL 60612
Phone (312) 864-0060

1969 W Ogden Ave
Chicago, IL 60612
Phone (312) 864-3600

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

Interoperability endpoints

  • Direct secure messaging: jkorpics@direct.ccprovider.org

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1124432901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 WEBSTER ST STE 110",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 WEBSTER ST STE 110",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152374",
            "telephone_number": "415-666-1860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 W Polk St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60612",
            "country_code": "US",
            "telephone_number": "312-864-6000",
            "fax_number": "312-864-9500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8800 Lockwood",
            "address_purpose": "LOCATION",
            "city": "Skokie",
            "state": "IL",
            "postal_code": "60077",
            "country_code": "US",
            "telephone_number": "847-983-1400",
            "fax_number": "847-966-8071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KORPICS",
        "first_name": "JACQUELINE",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-19",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "125-065497",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036143314",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "CA",
            "license": "C202720",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "C202720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036143314",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jkorpics@direct.ccprovider.org",
            "affiliation": "Y",
            "affiliationName": "Cook County",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1969 W. Ogden Ave.",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606123723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.