Individual provider Active NPI

Erik Korsgaard, DO

  • Family Medicine Physician
  • Boca Raton, FL
National Provider Identifier
1518544279
Registry record updated Mar 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS21202 Issued in FL
Practice address
9030 Kimberly Blvd
Boca Raton, FL 33434-2823
Phone
(561) 488-2300
Fax
(888) 389-2471
NPI assigned
Mar 26, 2021
Last updated
Mar 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X OS21202 FL Primary

Addresses

Primary practice location

9030 Kimberly Blvd
Boca Raton, FL 33434-2823

Mailing address

2940 S US Highway 1 Ste C
Fort Pierce, FL 34982-8141
Phone (772) 466-6855

Other practice location 1

2940 S US Highway 1 Ste C
Fort Pierce, FL 34982-8141
Phone (772) 466-6855

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address erik.korsgaard.1@29601.direct.athenahealth.com

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
I20241021000131 FL Practitioner - Family Practice 6204217300 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Touro Un Col of Osteopathic Medicine, Henderson, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Conviva Medical Center Management, LLCGroup PAC ID 4284717422, 507 clinicians

Practice addresses (Care Compare)

2940 S US Hwy 1
Suite C11 Wellmed at Fort Pierce
Fort Pierce, FL 34982-8143
Phone (772) 466-6855

9030 Kimberly Blvd
Boca Raton, FL 33434-2823
Phone (561) 488-2300

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Management of Florida Inc Family Medicine CurrentSince Sep 22, 2024 Accepting new patients
Conviva Medical Center Management LLC Family Medicine CurrentSince Nov 1, 2025 Accepting new patients

Locations

9030 Kimberly Blvd
Boca Raton, FL 33434
Phone (321) 488-2300

2940 S US Highway 1
Ste C11
Fort Pierce, FL 34982
Phone (407) 423-5178

6221 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 491-1686

440 W 49th St
Hialeah, FL 33012
Phone (305) 828-5000

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, 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": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773446400000",
    "number": "1518544279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 S US HIGHWAY 1 STE C",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349828141",
            "telephone_number": "772-466-6855",
            "fax_number": "772-464-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9030 KIMBERLY BLVD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334342823",
            "telephone_number": "561-488-2300",
            "fax_number": "888-389-2471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2940 S US Highway 1 Ste C",
            "address_purpose": "LOCATION",
            "city": "Fort Pierce",
            "state": "FL",
            "postal_code": "349828141",
            "country_code": "US",
            "telephone_number": "772-466-6855",
            "fax_number": "772-464-4963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KORSGAARD",
        "first_name": "ERIK",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-26",
        "last_updated": "2026-03-14",
        "certification_date": "2026-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS21202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "erik.korsgaard.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "9030 Kimberly Blvd",
            "city": "Boca Raton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334342823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.