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EBTISSAM H KORKIS MD INC
NPI 1144732595
Family Medicine in El Cajon, CA

Active since October 25, 2017
1530 JAMACHA RD STE E-F, EL CAJON, CA 92019(619) 441-9200(619) 441-0710 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 16, 2018, Oct 25, 2017 (2 updates tracked since 2017).

About Ebtissam H Korkis Md Inc NPPES

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

EBTISSAM H KORKIS MD INC (NPI 1144732595) is a healthcare organization registered as a family medicine in El Cajon, California and active in the NPI registry since October 2017. The organization lists Ebtissam H. Korkis, Authorized Offical/president, as its authorized official.

NPPES Registry Identity

NPI1144732595
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEBTISSAM H KORKIS MD INC
Location Address1530 JAMACHA RD STE E-FEl Cajon, CA 92019-3700
Mailing Address1530 Jamacha Rd Ste E-fEl Cajon, CA 92019-3700 · (619) 441-9200 · Fax (619) 441-0710
Phone(619) 441-9200
Fax(619) 441-0710
Organization SubpartNo
Authorized OfficialEbtissam H. KorkisAuthorized Offical/president · (619) 441-9200
Enumeration DateOctober 25, 2017
Last NPPES UpdateJune 16, 20182 updates tracked since enumeration
✔ NPI 1144732595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1530 JAMACHA RD STE E-F, El Cajon, CA 92019
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Other Identifiers 1

Medicaid00A897670CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ebtissam H Korkis Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Ebtissam H Korkis MD Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ebtissam Korkis, MD
Family Practice
NPI 1780746263
1530 JAMACHA ROAD UNIT E UNIT F
El Cajon, CA 92019
(619) 441-9200
✔ PECOS✔ Accepts MedicareSame address

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

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 Ebtissam H Korkis MD Inc's NPI number?

The NPI number for Ebtissam H Korkis MD Inc is 1144732595. It was assigned to this organization in the NPPES registry on October 25, 2017.

Where is Ebtissam H Korkis MD Inc located?

Ebtissam H Korkis MD Inc is located at 1530 Jamacha Rd Ste E-F, El Cajon, CA 92019. The listed phone number is (619) 441-9200.

What is Ebtissam H Korkis MD Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ebtissam H Korkis MD Inc enrolled in Medicare?

Yes. Ebtissam H Korkis MD Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ebtissam H Korkis MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Ebtissam H Korkis MD Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ebtissam H Korkis MD Inc was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.