NICOLAS KOEGEL KOERBER MD
NPI 1366236036
Student in an Organized Health Care Education/Training Program in San Diego, CA

Q: What is Nicolas Koerber's NPI number?

The NPI number for Nicolas Koerber is 1366236036. It was assigned to this individual provider in the NPPES registry on April 8, 2025.

Q: What is Nicolas Koerber's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Nicolas Koerber was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 08, 2025PECOS Enrolled

200 W ARBOR DR, SAN DIEGO, CA 92103(619) 543-3534 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Nicolas Koegel Koerber Md NPPES

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

NICOLAS KOEGEL KOERBER MD (NPI 1366236036) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS and maintains a secondary practice location in Evanston.

NPPES Registry Identity

NPI1366236036

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameNICOLAS KOEGEL KOERBERCredential: MD

Location Address200 W ARBOR DRSan Diego, CA 92103-9000

Mailing Address200 W Arbor DrSan Diego, CA 92103-9000 · (619) 543-3534

Phone(619) 543-3534

Sole ProprietorYes

Enumeration DateApril 8, 2025

Last NPPES UpdateJune 23, 2026

NPPES CertifiedJune 23, 2026

✔ NPI 1366236036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

200 W ARBOR DR, San Diego, CA 92103

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Secondary Practice Location 1

Location 12650 Ridge Ave Ste 1304Evanston, IL 60201-1700 · Phone (847) 570-2700

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicolas Koegel Koerber 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.

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. RAMIN MOTARJEMI M.D.

Internal Medicine (Geriatric Medicine)