Individual provider Active NPI

Touraj Kormi, MD

  • Plastic Surgery Physician
  • Berkeley, CA
National Provider Identifier
1629281233
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
A48807 Issued in CA
Practice address
2999 Regent St Ste 425
Berkeley, CA 94705-2119
Phone
(510) 981-8222
Fax
(510) 981-8228
NPI assigned
May 8, 2007
Last updated
Mar 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X A48807 CA Primary

Addresses

Primary practice location

2999 Regent St Ste 425
Berkeley, CA 94705-2119

Mailing address

2999 Regent St Ste 425
Berkeley, CA 94705-2119
Phone (510) 981-8222

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050525001242 CA Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 8527000942 Reassigns benefits to 1 organization
Practice locations: Berkeley, CA

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
KND Development 59 LLCGroup PAC ID 3678602802, 176 clinicians

Practice addresses (Care Compare)

2800 Benedict Dr
San Leandro, CA 94577-6840
Phone (510) 357-8300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A48807CAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
California Pacific Medical Group, Inc. Past Accepting new patients
Sutter East Bay Medical Foundation Past Accepting new patients

Organizations & group practices 3

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": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1629281233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2999 REGENT ST STE 425",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052119",
            "telephone_number": "510-981-8222",
            "fax_number": "510-981-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2999 REGENT ST STE 425",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052119",
            "telephone_number": "510-981-8222",
            "fax_number": "510-981-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORMI",
        "first_name": "TOURAJ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A48807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.