Individual provider Active NPI

Veena Jacob Korah, M.D.

  • Family Medicine Physician
  • Highland Park, IL
National Provider Identifier
1780761692
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036113959 Issued in IL
Practice address
2057 Green Bay Rd # 1001
Highland Park, IL 60035-6101
Phone
(708) 320-1477
Fax
(207) 881-4056
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036113959 IL Primary

Addresses

Primary practice location

2057 Green Bay Rd # 1001
Highland Park, IL 60035-6101

Mailing address

401 Warren St Ste 300
Redwood City, CA 94063-1536
Phone (708) 320-1477

Other identifiers 1

IdentifierTypeStateIssuer
036113959MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler Other CMS HIH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20060123000363 IL Practitioner - Family Practice 6507880184 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rush Medical College of Rush University, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Solace Health Medical Group IncGroup PAC ID 9830540624, 122 clinicians

Practice addresses (Care Compare)

2057 Green Bay Rd
Suite 1001
Highland Park, IL 60035-6101
Phone (240) 693-3281

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036113959ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince Feb 22, 2023 Accepting new patients
Swedish Covenant Management Services, Inc. Family Medicine CurrentSince Jul 2, 2021 Accepting new patients
Swedish Covenant Management Services, Inc CurrentSince Jul 2, 2021 Accepting new patients
Endeavor Health Medical Group Family Medicine Current Accepting new patients
Solace Health Medical Group Inc Family Medicine CurrentSince Jan 3, 2025 Accepting new patients
Solace Health Medical Group KS PA Family Medicine Past Accepting new patients
Premise Health of Illinois Medical PC PastSince Sep 1, 2024 Accepting new patients

Locations

401 Warren St
Ste 300
Redwood City, CA 94063
Phone (650) 365-9997

401 Warren St
Redwood City, CA 94063
Phone (650) 740-9538

2590 Welton St
Ste 200
Denver, CO 80205
Phone (720) 499-9617

320 Boston Post Rd
Ste 180
Darien, CT 06820
Phone (203) 309-0623

1500 Southland Cir NW
Ste H
Atlanta, GA 30318
Phone (404) 786-0006

75-5915 Walua Rd
Unit 135
Kailua Kona, HI 96740

5060 N Broadway St
Chicago, IL 60640
Phone (773) 293-4200

9532 Eagle Way
Chicago, IL 60678

5140 N California Ave
Ste 780
Chicago, IL 60625
Phone (773) 784-5140

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2057 Green Bay Rd
#1001
Highland Park, IL 60035
Phone (708) 320-1477

2057 Green Bay Rd
Ste 1001
Highland Park, IL 60035

333 Washington Ave N
Minneapolis, MN 55401
Phone (612) 349-2797

1201 Liberty Pike
Ste 229
Franklin, TN 37067
Phone (557) 203-9299

Organizations & group practices 7

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1780761692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 WARREN ST STE 300",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631536",
            "telephone_number": "708-320-1477",
            "fax_number": "207-881-4056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2057 GREEN BAY RD # 1001",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600356101",
            "telephone_number": "708-320-1477",
            "fax_number": "207-881-4056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORAH",
        "first_name": "VEENA",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036113959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036113959",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "CMS HIH",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "7500 Security Blvd",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212441849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

Verify at the official NPI Registry.