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DR. PHILLIP ERWIN KORENBLAT M.D.
NPI 1063555860
Specialist in Saint Louis, MO

Active since February 14, 2007PECOS Enrolled
1040 N MASON RD, SUITE 112, SAINT LOUIS, MO 63141(314) 514-8509(314) 542-0109 Get Directions Write a Review

NPPES record last updated: February 22, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 22, 2016, Dec 15, 2015 (2 updates tracked since 2015).

About Dr. Phillip Erwin Korenblat M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PHILLIP ERWIN KORENBLAT M.D. (NPI 1063555860) is an individual specialist in Saint Louis, Missouri and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063555860
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. PHILLIP ERWIN KORENBLATCredential: M.D.
Location Address1040 N MASON RD, SUITE 112Saint Louis, MO 63141-6399
Mailing Address1040 N Mason Rd, Suite 112Saint Louis, MO 63141-6399 · (314) 514-8509 · Fax (314) 542-0109
Phone(314) 514-8509
Fax(314) 542-0109
Sole ProprietorYes
Enumeration DateFebruary 14, 2007
Last NPPES UpdateFebruary 22, 20162 updates tracked since enumeration
✔ NPI 1063555860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1040 N MASON RD, Saint Louis, MO 63141
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Phillip Erwin Korenblat M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHYSICIAN GROUPS LC
Clinic/Center (Medical Specialty)
1040 N MASON RD, SUITE 206
SAINT LOUIS, MO 63141
St. Louis County (314) 878-1950
MS. KATHLEEN P LOBELLO ANP
Nurse Practitioner (Adult Health)
1040 N MASON RD
SAINT LOUIS, MO 63141
St. Louis County (314) 362-8200
MR. DENNIS GLENN HAFFORD PA
Physician Assistant (Surgical)
1040 N MASON RD, DIV SURG UROLOGY
SAINT LOUIS, MO 63141
St. Louis County (314) 362-8200
PHYSICIAN GROUPS LC
Clinic/Center (Medical Specialty)
1040 N MASON RD, SUITE 102
SAINT LOUIS, MO 63141
St. Louis County (314) 996-8349
PHYSICIAN GROUPS LC
Clinic/Center (Primary Care)
1040 N MASON RD, SUITE 102
SAINT LOUIS, MO 63141
St. Louis County (314) 996-8349
ORTHOPEDIC CARE OF ST. LOUIS, PC
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
1040 N MASON RD, SUITE G03
SAINT LOUIS, MO 63141
St. Louis County (314) 434-0030
TEMPO SURGICAL INC
Surgery
1040 N MASON RD, 214
ST LOUIS, MO 63141
St. Louis County (314) 275-9770
KENNETH J BENNETT MD
Specialist
1040 N MASON RD, STE G-03
ST LOUIS, MO 63141
St. Louis County (314) 878-7899

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phillip Korenblat's NPI number?

The NPI number for Phillip Korenblat is 1063555860. It was assigned to this individual provider in the NPPES registry on February 14, 2007.

Where is Phillip Korenblat located?

Phillip Korenblat practices at 1040 N Mason Rd Suite 112, Saint Louis, MO 63141. The listed phone number is (314) 514-8509.

What is Phillip Korenblat's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Phillip Korenblat enrolled in Medicare?

Yes. Phillip Korenblat is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Phillip Korenblat was last updated on February 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.