Charles William Korbonits Jr., M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MD00014529 Issued in WA

Practice address

9801 Frontier Ave SE
Emergency Department
Snoqualmie, WA 98065-5200

Phone

(425) 831-2323

Fax

(425) 831-2329

NPI assigned

Sep 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Emergency Medicine

Education

Jefferson Medical College of Thomas Jefferson University, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

King County Public Hospital District No 2Group PAC ID 7618880097, 586 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Evergreenhealth Medical Center Hospital, Kirkland, WA, CCN 500124

Merit-based Incentive Payment System (MIPS)

Final score

86.73 of 100Reported as apm

Quality

73.46

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• King County Public Hospital District No 2

  • Neuromusculoskeletal Medicine & OMM Physician
  • Kirkland, WA
  • NPI 1801986070
  Medicare reassignment Care Compare group NPD
• King County Public Hospital District No 2

  • Family Medicine Physician
  • Bothell, WA
  • NPI 1902907165
  NPD
• King County Public Hospital District No. 2

  • Physical Therapist
  • Kirkland, WA
  • NPI 1356920946
  NPD
• King County Public Hospital District No. 2

  • Clinic/Center
  • Redmond, WA
  • NPI 1750612883
  NPD
• Public Hospital District No 2

  • Family Medicine Physician
  • Kenmore, WA
  • NPI 1629179890
  NPD
• Northwest Hospital

  • Emergency Medicine Physician
  • Seattle, WA
  • NPI 1922144039
  NPD (past)
• Northwest Hospital & Medical Center

  • Obstetrics & Gynecology Physician
  • Seattle, WA
  • NPI 1730355199
  NPD (past)
• Public Hospital District No 4, King County Wa

  • Family Medicine Physician
  • Snoqualmie, WA
  • NPI 1144432634
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• King County Public Hospital District No. 2

  • General Acute Care Hospital
  • Kirkland, WA
  • NPI 1033174933
  Care Compare affiliation

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429574400000",
    "number": "1699870766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3763 W COMMODORE WAY",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981991103",
            "telephone_number": "206-283-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9801 FRONTIER AVE SE",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980655200",
            "telephone_number": "425-831-2323",
            "fax_number": "425-831-2329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORBONITS",
        "first_name": "CHARLES",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2015-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD00014529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1004258",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Calvin Hyun Kim, DDS
• David Kim, MD
• Adriana Kimpton
• Michael R Komanetz, MSN ARNP
• James Atticus Koontz
• Renee Marie Kosted, PT
• Anke Kramer, LMP
• Rachel Suzanne Kramer, D.D.S.
• Lisa M Krasowski, PTA
• Nannette Marie Krueger, OTR

• Emergency Medicine Physician in Snoqualmie, WA
• Providers in Snoqualmie, WA by specialty
• Emergency Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; 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.

Verify at the official NPI Registry.