Individual provider Active NPI

George M Korengold, M.D.

  • Pediatrics Physician
  • Potomac, MD
National Provider Identifier
1275530438
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0017886 Issued in MD
Practice address
11325 Seven Locks Rd
Suite 238
Potomac, MD 20854-3205
Phone
(301) 299-8930
Fax
(301) 299-8933
NPI assigned
Jul 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D0017886 MD Primary
Pediatrics Physician 208000000X MD7164 DC

Addresses

Primary practice location

11325 Seven Locks Rd
Suite 238
Potomac, MD 20854-3205

Mailing address

11325 Seven Locks Rd
Suite 238
Potomac, MD 20854-3205
Phone (301) 299-8930

Other identifiers 3

IdentifierTypeStateIssuer
C043-0002OtherCAREFIRST
1200598OtherUNITED HEALTHCARE
812286OtherMAMSI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD7164DCMDPediatrics Physician
D0017886MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients
Donald W. Wiczer, M.D., George M. Korengold, M.D., Vanessa M. Mayol Pediatrics Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1120262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1275530438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11325 SEVEN LOCKS RD",
            "address_2": "SUITE 238",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208543205",
            "telephone_number": "301-299-8930",
            "fax_number": "301-299-8933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11325 SEVEN LOCKS RD",
            "address_2": "SUITE 238",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208543205",
            "telephone_number": "301-299-8930",
            "fax_number": "301-299-8933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORENGOLD",
        "first_name": "GEORGE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0017886",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "DC",
            "license": "MD7164",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "C043-0002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1200598",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "812286",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Potomac, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.