Individual provider Active NPI

Damian Korsich, MD

  • General Practice Physician
  • Miramar, FL
National Provider Identifier
1356875819
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME150737 Issued in FL
Practice address
3601 SW 160TH Ave Ste 250
Miramar, FL 33027-6314
Phone
(954) 399-4673
NPI assigned
Apr 11, 2017
Last updated
Aug 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME150737 FL
General Practice Physician 208D00000X ME150737 FL Primary

Addresses

Primary practice location

3601 SW 160TH Ave Ste 250
Miramar, FL 33027-6314

Mailing address

1400 Cricket Club Cir Apt 303
Orlando, FL 32828-5931

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
I20210721000123 FL Practitioner - General PracticePractitioner - General Surgery 6103229760 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Loma Linda University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
USA Vein Clinics of Miami LLCGroup PAC ID 9830404003, 11 clinicians

Practice addresses (Care Compare)

4978 Millenia Blvd
Suite D
Orlando, FL 32839-6059
Phone (321) 666-7620

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal121

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME150737FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Manuel E Abella MD PA CurrentSince Jan 20, 2026 Accepting new patients
Florida Post Acute Care Clinicians, LLC CurrentSince Mar 13, 2023 Accepting new patients
USA Vein Clinics of Miami, LLC CurrentSince Sep 28, 2021 Accepting new patients
Florida Post Acute Care Clinicians, LLC General Practice CurrentSince Mar 13, 2023 Accepting new patients
USA Vascular Centers of Miami PLLC CurrentSince Jun 13, 2024 Accepting new patients
General Surgery Associates LLC Surgery Past Accepting new patients
Vascular Anesthesia Associates PLLC PastSince Jun 13, 2024 Accepting new patients
USA Vein Clinics of Miami, LLC PastSince Feb 19, 2023 Accepting new patients
USA Vein Clinics of Miami, LLC PastSince Apr 3, 2022 Accepting new patients

Locations

693 Douglas Ave
Ste 101
Altamonte Springs, FL 32714

7900 Venture Center Way
Boynton Beach, FL 33437
Phone (561) 330-0111

1711 E Hallandale Beach Blvd
Ste A
Hallandale Beach, FL 33009
Phone (954) 688-3968

5888 Blanding Blvd
Jacksonville, FL 32244
Phone (904) 612-7385

1975 S John Young Pkwy
Ste 101
Kissimmee, FL 34741
Phone (407) 715-6062

13940 N US Highway 441
Ste 500
Lady Lake, FL 32159
Phone (352) 218-8638

13936 NW 7th Ave
Miami, FL 33168
Phone (305) 364-5778

8200 SW 117th Ave
Ste 414
Miami, FL 33183
Phone (305) 221-6161

3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951

1780 N Jefferson Hwy
Monticello, FL 32344
Phone (800) 708-4008

1735 N Treasure Dr
North Bay Village, FL 33141
Phone (305) 665-2383

1800 NE 168th St
North Miami Beach, FL 33162
Phone (305) 917-1800

4978 Millenia Blvd
Ste D
Orlando, FL 32839
Phone (321) 666-7620

4900 95th Ave N
Pinellas Park, FL 33782
Phone (727) 546-4400

4900 95th Ave N
Ste C
Pinellas Park, FL 33782
Phone (727) 475-7751

4726 N Habana Ave
Ste 204
Tampa, FL 33614
Phone (813) 773-0988

4601 N Congress Ave
Ste 101A
West Palm Beach, FL 33407

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1356875819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 CRICKET CLUB CIR APT 303",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328285931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 SW 160TH AVE STE 250",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330276314",
            "telephone_number": "954-399-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORSICH",
        "first_name": "DAMIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-11",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME150737",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME150737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.