Individual provider Active NPI

David Eugene Korber, M.D.

  • Ophthalmology Physician
  • Oklahoma City, OK
National Provider Identifier
1720042088
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
20179 Issued in OK
Practice address
3301 NW 63Rd St
Oklahoma City, OK 73116-3705
Phone
(405) 947-3330
Fax
(405) 947-3494
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X 20179 OK Primary

Addresses

Primary practice location

3301 NW 63Rd St
Oklahoma City, OK 73116-3705

Mailing address

3301 NW 63Rd St
Oklahoma City, OK 73116-3705
Phone (405) 947-3330

Other identifiers 1

IdentifierTypeStateIssuer
100193860 AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20050304000120 OK Practitioner - Ophthalmology 5991753923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Kansas School of Med (KC/Wich/Sal), 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3301 NW 63Rd St
Oklahoma City, OK 73116-3705
Phone (405) 947-3330

Merit-based Incentive Payment System (MIPS)

Final score
97.5 of 100Reported as individual
Quality
95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery562
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
David E. Korber M.D. P.C Multi-Specialty CurrentSince Mar 1, 2005 Accepting new patients
Central Oklahoma Ambulatory Surgical Center, Inc. Ophthalmology CurrentSince Jan 27, 2012 Accepting new patients
Northwest Optical Inc. PastSince Aug 1, 2016 Accepting new patients

Locations

5320 N Portland Ave
Ste 107
Oklahoma City, OK 73112
Phone (405) 947-3330

3301 NW 63rd St
Oklahoma City, OK 73116
Phone (405) 842-9732

5320 N Portland Ave
Oklahoma City, OK 73112
Phone (405) 605-0316

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430956800000",
    "number": "1720042088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 NW 63RD ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731163705",
            "telephone_number": "405-947-3330",
            "fax_number": "405-947-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 NW 63RD ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731163705",
            "telephone_number": "405-947-3330",
            "fax_number": "405-947-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORBER",
        "first_name": "DAVID",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2015-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "20179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100193860 A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.