Individual provider Active NPI

Manisha Kak Korb, M.D.

  • Neuromuscular Medicine (Psychiatry & Neurology) Physician
  • West Palm Beach, FL
National Provider Identifier
1235494089
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromuscular Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084N0008X
License
ME169108 Issued in FL
Practice address
4631 N Congress Ave Ste 200
West Palm Beach, FL 33407-3234
Phone
(561) 845-0500
Fax
(561) 296-1101
NPI assigned
Jul 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromuscular Medicine (Psychiatry & Neurology) Physician 2084N0008X ME169108 FL Primary

Addresses

Primary practice location

4631 N Congress Ave Ste 200
West Palm Beach, FL 33407-3234

Mailing address

4631 N Congress Ave Ste 200
West Palm Beach, FL 33407-3234
Phone (561) 845-0500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240911003962 FL Practitioner - Neurology 6406158286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Virginia School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Palm Beach NeurologyGroup PAC ID 5698767887, 9 clinicians

Practice addresses (Care Compare)

4631 N Congress Ave
Suite 200
West Palm Beach, FL 33407-3234
Phone (561) 845-0500

Hospital & facility affiliations

  • Trilogy Home Healthcare Home health agency, West Palm Beach, FL, CCN 107714
  • Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach Neurology Neurology CurrentSince Oct 1, 2024 Accepting new patients
Palm Beach Neurology Neurology CurrentSince Oct 1, 2024 Accepting new patients

Locations

4631 N Congress Ave
Ste 200
West Palm Beach, FL 33407
Phone (561) 845-0175

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1235494089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4631 N CONGRESS AVE STE 200",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073234",
            "telephone_number": "561-845-0500",
            "fax_number": "561-296-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4631 N CONGRESS AVE STE 200",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073234",
            "telephone_number": "561-845-0500",
            "fax_number": "561-296-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORB",
        "first_name": "MANISHA",
        "middle_name": "KAK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-09",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "FL",
            "license": "ME169108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.