EDWARD KOROT M.D. – NPI #1669853768
Ophthalmology

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Health Care Provider Taxonomy Code for Ophthalmology

EDWARD KOROT is an ophthalmologist located in GRAND RAPIDS, MI. NPPES has assigned the NPI number 1669853768 to EDWARD KOROT on June 15, 2015. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207WX0107X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology, specializing in Retina Specialist

The NPI profile was previously updated about 3 years ago on Jan 10, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EDWARD KOROT below.

NPI Profile for
EDWARD KOROT

NPI Number
1669853768
Enumeration Date

(about 11 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
EDWARD KOROT
Credentials
M.D.
Primary location
5030 CASCADE RD SE
GRAND RAPIDS, MI 49546-3725
Phone: (616) 954-2020 Fax: (616) 949-0408
Mailing address
300 PASTEUR DR
STANFORD, CA 94305-2200
Phone: Fax:
Sole Proprietor
No
Updated
Certification Date
Jan 10, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207WX0107X
- Ophthalmology / Retina Specialist (Primary)		 MI 4301507112
207W00000X
- Ophthalmology		 CA A168016

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE - Graduated 2015
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
EDWARD KOROT is affiliated with the following medical group(s):
  • HOSPITAL
    • SPECTRUM HEALTH
      100 MICHIGAN ST NE
      GRAND RAPIDS, MI 49503

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