MICHELLE LYNN KORN D.O.
NPI 1619219102
Pediatrics - Pediatric Critical Care Medicine in Miami, FL

Active since March 22, 2013PECOS Enrolled
1611 NW 12TH AVE, MIAMI, FL 33136(816) 728-8235 Get Directions Write a Review

NPPES record last updated: August 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 5, 2021, Mar 10, 2021, May 29, 2020 (3 updates tracked since 2020).

About Michelle Lynn Korn D.o. NPPES

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

MICHELLE LYNN KORN D.O. (NPI 1619219102) is an individual pediatric critical care medicine provider in Miami, Florida, licensed in New York (301433) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619219102
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameMICHELLE LYNN KORNCredential: D.O.
Location Address1611 NW 12TH AVEMiami, FL 33136-1005
Mailing Address386 Larimore Valley DrWildwood, MO 63005-6226 · (816) 728-8235
Sole ProprietorNo
Enumeration DateMarch 22, 2013
Last NPPES UpdateAugust 5, 20213 updates tracked since enumeration
NPPES CertifiedAugust 5, 2021
NPI 1619219102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License Licensed in NY · 301433
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedPediatricsTaxonomy 208000000X · License 301433 (NY)
1611 NW 12TH AVE, Miami, FL 33136

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Michelle Lynn Korn D.o. 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.

Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1611 NW 12TH AVE, PHARMACY ADM. OFFICES/EAST TOWER BASEMENT 069
MIAMI, FL 33136
Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Pediatrics (Pediatric Cardiology)
1611 NW 12TH AVE
MIAMI, FL 33136
Nurse Practitioner (Adult Health)
1611 NW 12TH AVE
MIAMI, FL 33136
Anesthesiology
1611 NW 12TH AVE, CENTRAL 300
MIAMI, FL 33136
Pathology (Anatomic Pathology)
1611 NW 12TH AVE
MIAMI, FL 33136
Surgery
1611 NW 12TH AVE
MIAMI, FL 33136

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 Michelle Korn's NPI number?

The NPI number for Michelle Korn is 1619219102. It was assigned to this individual provider in the NPPES registry on March 22, 2013.

Where is Michelle Korn located?

Michelle Korn practices at 1611 NW 12th Ave, Miami, FL 33136. The listed phone number is (816) 728-8235.

What is Michelle Korn's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Michelle Korn enrolled in Medicare?

Yes. Michelle Korn is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michelle Korn was last updated on August 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.