Individual provider Active NPI

David J Korn, MD

  • Internal Medicine Physician
  • Davie, FL
National Provider Identifier
1922082544
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0030715 Issued in FL
Practice address
5480 Griffin Rd
Davie, FL 33314-4539
Phone
(954) 210-9770
Fax
(954) 210-9771
NPI assigned
Dec 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0030715 FL
Cardiovascular Disease Physician 207RC0000X ME0030715 FL
Internal Medicine Physician 207R00000X ME0030715 FL Primary

Addresses

Primary practice location

5480 Griffin Rd
Davie, FL 33314-4539

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (305) 500-2000

Other identifiers 1

IdentifierTypeStateIssuer
067635700MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address david.korn@eh.eclinicaldirectplus.com Health Information Exchange (HIE)

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
I20101019001051 FL Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 1759574023 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Albert Einstein College of Medicine of Yeshiva University, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associatesmd Medical Group IncGroup PAC ID 6507294311, 38 clinicians

Practice addresses (Care Compare)

1604 Town Ctr Cir
Suite 4C
Weston, FL 33326-3640
Phone (954) 384-1800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0030715FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Associatesmd Medical Group Inc CurrentSince Aug 4, 2025 Accepting new patients
Associatesmd Medical Group Inc CurrentSince Aug 4, 2025 Accepting new patients
Conviva Medical Center Management LLC Internal Medicine CurrentSince May 17, 2024 Accepting new patients
South Florida Cardiology Associates LLC Cardiovascular Disease CurrentSince Mar 9, 2019 Accepting new patients
South Florida Cardiology Associates LLC Cardiovascular Disease CurrentSince Mar 9, 2019 Accepting new patients
Mount Sinai Medical Center of Florida, Inc. Past Accepting new patients
Mount Sinai Medical Center Internal Medicine Past Accepting new patients

Locations

4780 SW 64th Ave
Davie, FL 33314

4780 SW 64th Ave
Ste 103
Davie, FL 33314

5480 Griffin Rd
Davie, FL 33314
Phone (954) 210-9770

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

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

4960 SW 72nd Ave
Ste 406
Miami, FL 33155

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

4300 Alton Rd
Ste 207
Miami Beach, FL 33140
Phone (305) 674-2150

4300 Alton Rd
Miami Beach, FL 33140
Phone (305) 481-9776

1700 79th Street Cswy
Ste 120
North Bay Village, FL 33141
Phone (305) 655-1877

1601 N Palm Ave
Ste 101
Pembroke Pines, FL 33026
Phone (954) 436-6660

1380 S Hiatus Rd
Pembroke Pines, FL 33025
Phone (754) 236-8000

1281 S Tamiami Trl
Unit 2
Sarasota, FL 34239
Phone (941) 690-8741

1604 Town Center Blvd
Ste 4C
Weston, FL 33326
Phone (954) 384-1800

1604 Town Center Blvd
Ste B
Weston, FL 33326
Phone (954) 349-3030

Interoperability endpoints

  • FHIR API: https://epicfhir.msmc.com/proxysite-prd/api/FHIR/R4/

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": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1922082544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "305-500-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5480 GRIFFIN RD",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333144539",
            "telephone_number": "954-210-9770",
            "fax_number": "954-210-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORN",
        "first_name": "DAVID",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "0030715",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME0030715",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0030715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "067635700",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "david.korn@eh.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "emr",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "emr",
            "address_1": "5480 Griffin Rd",
            "city": "Davie",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333144539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

Verify at the official NPI Registry.