Active NPI
Jeremy E Korman, M.D.
- Surgery Physician
- Marina del Rey, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- G83221
- Practice address
- 4644 Lincoln Blvd
Ste 450
Marina del Rey, CA 90292-6313 - Phone
- (800) 491-1977
- Fax
- (310) 577-5616
- NPI assigned
- Jul 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | G83221 | CA | Primary |
Addresses
Primary practice location
4644 Lincoln Blvd
Ste 450
Marina del Rey, CA 90292-6313
Mailing address
4644 Lincoln Blvd
Ste 450
Marina del Rey, CA 90292-6313
Phone (310) 577-5540
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Icahn School of Medicine at Mount Sinai, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
4640 Admiralty Way
Suite 901
Marina del Rey, CA 90292-6621
Phone (424) 488-7112
4644 Lincoln Blvd
Marina del Rey, CA 90292-6374
Hospital & facility affiliations
- Cedar-Sinai Marina del Rey Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Surgical Specialists | Surgery | Current | Accepting new patients |
| Jeremy E Korman MD a Professional Corporation | Surgery | Current | Accepting new patients |
| Jeremy E. Korman MD, a Professional Corporation | Current | Accepting new patients | |
| Southern California Healthcare System, Inc | Past | Accepting new patients | |
| Cedars-Sinai Medical Center | Past | Accepting new patients |
Locations
4640 Admiralty Way
Ste 901
Marina del Rey, CA 90292
Phone (310) 557-5540
4644 Lincoln Blvd
Ste 450
Marina del Rey, CA 90292
Phone (310) 325-4415
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- jkorman103103@direct.cshs.org
Organizations & group practices 5
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.
-
- Surgery Physician
- Marina del Rey, CA
- NPI 1386865798
-
- Non-Pharmacy Dispensing Site
- Marina del Rey, CA
- NPI 1255609004
-
- Surgery Physician
- Los Angeles, CA
- NPI 1699215327
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- Psychiatric Hospital Unit
- Culver City, CA
- NPI 1487905725
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Marina del Rey, CA
- NPI 1942269725
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284940800000",
"number": "1508870171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4644 LINCOLN BLVD",
"address_2": "STE 450",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902926313",
"telephone_number": "310-577-5540",
"fax_number": "310-577-5616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4644 LINCOLN BLVD",
"address_2": "STE 450",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902926313",
"telephone_number": "800-491-1977",
"fax_number": "310-577-5616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORMAN",
"first_name": "JEREMY",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2010-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "G83221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marina del Rey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.