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DR. MICHAEL J KOREN M.D.
NPI 1083645782
Internal Medicine - Cardiovascular Disease in Gainesville, FL

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment
1600 SW ARCHER RD, GAINESVILLE, FL 32610(352) 273-9079(352) 273-8889 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Michael J Koren M.d. NPPES

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

DR. MICHAEL J KOREN M.D. (NPI 1083645782) is an individual cardiovascular disease provider in Gainesville, Florida, licensed in Florida (ME60377) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center Beaches, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1083645782
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. MICHAEL J KORENCredential: M.D.
Location Address1600 SW ARCHER RDGainesville, FL 32610-3003
Mailing Address3901 University Blvd S Ste 221Jacksonville, FL 32216-4392 · (904) 423-0010 · Fax (904) 423-0012
Phone(352) 273-9079
Fax(352) 273-8889
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 1985
Enumeration DateJuly 5, 2006
Last NPPES UpdateMay 27, 2025
NPPES CertifiedMay 27, 2025
✔ NPI 1083645782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in FL · ME60377
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1600 SW ARCHER RD, Gainesville, FL 32610
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13901 University Blvd S Ste 221Jacksonville, FL 32216 · Phone (904) 423-0010 · Fax (904) 423-0012
Location 2400 Health Park BlvdSt Augustine, FL 32086-5784 · Phone (904) 819-5155

Other Identifiers 1

Medicaid374186900FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael J Koren M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052385168
PECOS Enrollment IDI20101206000176
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Michael Koren reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Florida Clinical Practice Association Inc
Same address
Surgery
1600 SW ARCHER RD
Gainesville, FL 32610
  • Reassigned Medicare billing, Florida enrollment
  • 3,324 clinicians in this Medicare group
NPI 1063463768 (352) 265-7922
First Coast Heart & Vascular Center, PA
63 mi
Cardiovascular Disease
3901 UNIVERSITY BLVD S, SUITE 221
Jacksonville, FL 32216
  • Reassigned Medicare billing, Florida enrollment
  • 30 clinicians in this Medicare group
NPI 1366795742 (904) 423-0010
Cardiology Interpreters Inc
66 mi
Technician, Cardiology
11651 CENTRAL PKWY STE 106
Jacksonville, FL 32224
  • Reassigned Medicare billing, Florida enrollment
  • 139 clinicians in this Medicare group
NPI 1477887149 (904) 396-2342

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
419 services200 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
247 services178 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Medical Center Beaches

Acute Care Hospitals · Jacksonville Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100117
Location1350 13th Ave SJacksonville Beach, FL 32250 · Duval County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32610 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

DR. BAHAREH EBADIFAR KEITH DO
Pediatrics
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 273-0462
AFRASYAB KHAN
Surgery
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 265-0680
GULSUN ERDAG MD
Pathology (Anatomic Pathology & Clinical Pathology)
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 265-9900
DR. ALBERT H. MATTIA D.D.S.
Dentist (Prosthodontics)
1600 SW ARCHER RD, D4-4
GAINESVILLE, FL 32610
Alachua County (352) 273-5801
JOANNA CHAFFIN
Pathology (Anatomic Pathology & Clinical Pathology)
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 627-9272
DR. CASEY JUSTIN BEAL MD
Ophthalmology
1600 SW ARCHER RD, BOX 100284
GAINESVILLE, FL 32610
Alachua County (352) 273-8778
WILLIAM CRAIG HICKS CRNA
Nurse Anesthetist, Certified Registered
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 273-6438
HENRY FONTILLAS PATALINGHUG CRNA
Nurse Anesthetist, Certified Registered
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 273-6438

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 Michael Koren's NPI number?

The NPI number for Michael Koren is 1083645782. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Michael Koren located?

Michael Koren practices at 1600 SW Archer Rd, Gainesville, FL 32610. The listed phone number is (352) 273-9079.

What is Michael Koren's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Michael Koren enrolled in Medicare?

Yes. Michael Koren is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Michael Koren's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Koren reassigns Medicare benefits to 3 organizations: Florida Clinical Practice Association Inc (Gainesville, FL), First Coast Heart & Vascular Center, PA (Jacksonville, FL) and Cardiology Interpreters Inc (Jacksonville, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Koren's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Koren accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Michael Koren as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Michael Koren affiliated with any hospitals?

According to CMS data, Michael Koren is affiliated with Baptist Medical Center Beaches.

When was this NPI record last updated?

The NPPES record for Michael Koren was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.