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DR. DAVID SAMUEL KORNBLUM MD
NPI 1144759424
Hospitalist in Clearwater, FL

Active since June 08, 2017PECOS Enrolled
300 PINELLAS ST # MS 47, CLEARWATER, FL 33756(727) 462-7907(727) 462-7904 Get Directions Write a Review

NPPES record last updated: January 24, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 6, 2022, Jul 27, 2020, Jun 8, 2017 (3 updates tracked since 2017).

About Dr. David Samuel Kornblum Md NPPES

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

DR. DAVID SAMUEL KORNBLUM MD (NPI 1144759424) is an individual hospitalist provider in Clearwater, Florida, licensed in Florida (ME145179) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1144759424
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. DAVID SAMUEL KORNBLUMCredential: MD
Location Address300 PINELLAS ST # MS 47Clearwater, FL 33756-3804
Mailing Address300 Pinellas St # Ms 47Clearwater, FL 33756-3804 · (727) 462-7907 · Fax (727) 462-7904
Phone(727) 462-7907
Fax(727) 462-7904
Sole ProprietorYes
Enumeration DateJune 8, 2017
Last NPPES UpdateJanuary 24, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2024
✔ NPI 1144759424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in FL · ME145179
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License LP03958 (RI), ME145179 (FL)
300 PINELLAS ST # MS 47, Clearwater, FL 33756
Open in Google Maps ↗

Secondary Practice Location 1

Location 1820 Prudential Dr Ste 304Jacksonville, FL 32207-8205 · Phone (904) 202-3860 · Fax (904) 202-3846

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. David Samuel Kornblum Md 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.

Medicare Billing Reassignments

2

Medicare enrollment records show David Kornblum reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baptist Primary Care Inc
158 mi
Family Medicine
3189 HIGHWAY 17
Green Cove Springs, FL 32043
  • Reassigned Medicare billing, Florida enrollment
  • 569 clinicians in this Medicare group
NPI 1902087950 (904) 284-2828
Eastside Hospitalists Inc
210 mi
Hospitalist
3501 JOHNSON ST
Hollywood, FL 33021
  • Reassigned Medicare billing, Florida enrollment
  • 413 clinicians in this Medicare group
NPI 1285676957 (954) 265-2000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33756 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
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
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

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

DEREK BATSON MD
Internal Medicine
300 PINELLAS ST # MS 47
CLEARWATER, FL 33756
Pinellas County (727) 462-7907

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 David Kornblum's NPI number?

The NPI number for David Kornblum is 1144759424. It was assigned to this individual provider in the NPPES registry on June 8, 2017.

Where is David Kornblum located?

David Kornblum practices at 300 Pinellas St # Ms 47, Clearwater, FL 33756. The listed phone number is (727) 462-7907.

What is David Kornblum's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is David Kornblum enrolled in Medicare?

Yes. David Kornblum is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for David Kornblum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Kornblum reassigns Medicare benefits to 2 organizations: Baptist Primary Care Inc (Green Cove Springs, FL) and Eastside Hospitalists Inc (Hollywood, 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 David Kornblum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Kornblum accept?

Health plans from AvMed list David Kornblum 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.

When was this NPI record last updated?

The NPPES record for David Kornblum was last updated on January 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.