Individual provider Active NPI

Jeff M Korab, DPM

  • Foot & Ankle Surgery Podiatrist
  • Chandler, AZ
National Provider Identifier
1164749669
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD-001027 Issued in AZ
Practice address
30 S Kyrene Rd Ste 3
Chandler, AZ 85226-4722
Phone
(480) 561-3734
Fax
(480) 497-3947
NPI assigned
Apr 23, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO60277402 WA
Foot & Ankle Surgery Podiatrist 213ES0103X 1007 NV
Foot & Ankle Surgery Podiatrist 213ES0103X POD-001027 AZ Primary

Addresses

Primary practice location

30 S Kyrene Rd Ste 3
Chandler, AZ 85226-4722

Mailing address

30 S Kyrene Rd Ste 3
Chandler, AZ 85226-4722
Phone (480) 561-3734

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220424000042 AZ Practitioner - Podiatry 0749305530 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

30 S Kyrene Rd
Suite 3
Chandler, AZ 85226-4722
Phone (480) 561-3734

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions20
Removal of nail tissue423
Removal or shaving of skin growth18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD-001027AZMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Foot and Ankle Specialists of Arizona, PLLC Podiatrist CurrentSince May 23, 2023 Accepting new patients
Preferred Foot and Ankle Specialists of Arizona, PLLC Podiatrist CurrentSince May 23, 2023 Accepting new patients
Integrated Healthcare Mobile Solutions, LLC Podiatrist CurrentSince May 1, 2022 Accepting new patients

Locations

3800 W Ray Rd
Ste 5
Chandler, AZ 85226
Phone (480) 718-5400

30 S Kyrene Rd
Ste 3
Chandler, AZ 85226
Phone (480) 461-3734

633 E Ray Rd
Ste 128
Gilbert, AZ 85296
Phone (480) 247-7391

1840 E Baseline Rd
Ste A1
Tempe, AZ 85283
Phone (480) 718-5400

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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": "1271980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1164749669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 S KYRENE RD STE 3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852264722",
            "telephone_number": "480-561-3734",
            "fax_number": "480-497-3947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 S KYRENE RD STE 3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852264722",
            "telephone_number": "480-561-3734",
            "fax_number": "480-497-3947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORAB",
        "first_name": "JEFF",
        "middle_name": "M",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-23",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "PO60277402",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NV",
            "license": "1007",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "POD-001027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.