DR. ALAN DAVID KORNBLUT MD FACS
NPI 1245271089
Otolaryngology in Chevy Chase, MD

NPI Status: Active since June 10, 2006

Contact Information

5530 WISCONSIN AVENUE
SUITE 535
CHEVY CHASE, MD
ZIP 20815
Phone: (301) 657-8834

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  • Individual
  • Male
  • Years of Experience 59
  • Otolaryngology
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About ALAN KORNBLUT

This page provides the complete NPI Profile along with additional information for Alan Kornblut, a provider established in Chevy Chase, Maryland with a medical specialization in Otolaryngology and more than 59 years of experience. He graduated from West Virginia University School Of Medicine in 1967. The healthcare provider is registered in the NPI registry with number 1245271089 assigned on June 2006. The practitioner's primary taxonomy code is 207Y00000X with license number D26462 (MD). The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1245271089
Provider Name
DR. ALAN DAVID KORNBLUT MD FACS
Other Name
DR. ALAN D KORBLUT
Other Name Type
Professional Name (2)
Gender
Male
Entity Type
Individual
Location Address
5530 WISCONSIN AVENUE SUITE 535 CHEVY CHASE, MD 20815
Location Phone
(301) 657-8834
Mailing Address
5530 WISCONSIN AVENUE SUITE 535 CHEVY CHASE, MD 20815
Mailing Phone
(301) 657-8834
Medical School Name
WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year
1967
Is Sole Proprietor?
Yes
Enumeration Date
06-10-2006
Last Update Date
07-08-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Otolaryngology

Taxonomy Code
207Y00000X
Type
Allopathic & Osteopathic Physicians
License No.
D26462
License State
MD
Taxonomy Description
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Y00000XAllopathic & Osteopathic Physicians

Otolaryngology

12426 (DC)
2207Y00000XAllopathic & Osteopathic Physicians

Otolaryngology

0101032737 (VA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
C88707MEDICARE UPIN (02) 
409355MEDICARE ID-TYPE UNSPECIFIED (04)GRP OOOL
04594207MEDICAID (05)DC 

Medicare Participation & PECOS Enrollment Status

Alan Kornblut is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Alan Kornblut is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 1052507407

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20101203000441

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 30-39 minutes

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.

This service was performed 13 times for 11 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 20815 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $147.85
  • Minimum New Patient Price $65.18
  • Maximum New Patient Price $194.86
  • Average New Patient Copayment $36.96
  • Minimum New Patient Copayment $16.29
  • Maximum New Patient Copayment $48.71

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $80.66
  • Minimum Established Patient Price $21.4
  • Maximum Established Patient Price $158.88
  • Average Established Patient Copayment $20.16
  • Minimum Established Patient Copayment $5.35
  • Maximum Established Patient Copayment $39.72

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1245271089, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
4
Doubled → 8
Pos 4
5
Unchanged
Pos 5
2
Doubled → 4
Pos 6
7
Unchanged
Pos 7
1
Doubled → 2
Pos 8
0
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 2 → 4 1 → 2 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 8 + 5 + 4 + 7 + 2 + 0 + 1 + 6 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1245271089.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Internal Medicine
5530 WISCONSIN AVENUE, STE 1400
CHEVY CHASE, MD 20815
Internal Medicine (Rheumatology)
5530 WISCONSIN AVENUE, SUITE 530
CHEVY CHASE, MD 20815
Specialist
5530 WISCONSIN AVENUE, SUITE 1550
CHEVY CHASE, MD 20815
Internal Medicine
5530 WISCONSIN AVENUE, SUITE #925
CHEVY CHASE, MD 20815
Dermatology
5530 WISCONSIN AVENUE, SUITE 1443
CHEVY CHASE, MO 20815
Dentist
5530 WISCONSIN AVENUE, SUITE 560
CHEVY CHASE, MD 20815
Obstetrics & Gynecology
5530 WISCONSIN AVENUE, SUITE 850
CHEVY CHASE, MD 20815
Nurse Practitioner (Family)
5530 WISCONSIN AVENUE, #820
CHEVY CHASE, MD 20815
Internal Medicine
5530 WISCONSIN AVENUE, SUITE 1445
CHEVY CHASE, MD 20815
Internal Medicine (Rheumatology)
5530 WISCONSIN AVENUE, SUITE 915
CHEVY CHASE, MD 20815
Dentist (Oral and Maxillofacial Surgery)
5530 WISCONSIN AVENUE, SUITE 930
CHEVY CHASE, MD 20815

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245271089, enumerated as an "individual" on June 10, 2006.

The provider is located at 5530 WISCONSIN AVENUE SUITE 535 CHEVY CHASE, MD 20815 and the phone number is (301) 657-8834.

Otolaryngology with taxonomy code 207Y00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.