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AVITAL ANGEL KORMAN MD
NPI 1750837407
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since August 31, 2016PECOS Enrolled
650 ALBANY ST, BOSTON, MA 02118(617) 638-7330 Get Directions Write a Review

NPPES record last updated: September 3, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Avital Angel Korman Md NPPES

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

AVITAL ANGEL KORMAN MD (NPI 1750837407) is an individual student in an organized health care education/training program in Boston, Massachusetts, licensed in Massachusetts (268831) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750837407
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameAVITAL ANGEL KORMANCredential: MD
Location Address650 ALBANY STBoston, MA 02118
Mailing Address11 John StBrookline, MA 02446-3719 · (857) 364-7043
Phone(617) 638-7330
Sole ProprietorYes
Enumeration DateAugust 31, 2016
Last NPPES UpdateSeptember 3, 2016
✔ NPI 1750837407 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
License✔ Licensed in MA · 268831
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.
650 ALBANY ST, Boston, MA 02118
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Avital Angel Korman 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 4

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

ATHEER BINZOUMAN
Dentist (Periodontics)
650 ALBANY ST
BOSTON, MA 02118
Suffolk County (617) 358-8300
DR. NANCY PEARL WU M.D.
Internal Medicine (Nephrology)
650 ALBANY ST, ROOM 504
BOSTON, MA 02118
Suffolk County (617) 638-7330
DR. TAL H KOPEL M.D.
Internal Medicine (Nephrology)
650 ALBANY ST, RENAL SECTION, RM 504
BOSTON, MA 02118
Suffolk County (617) 638-7330
DR. LAITH FARAH AL RABADI M.D.
Internal Medicine (Nephrology)
650 ALBANY ST, EBRC BUILDING #504
BOSTON, MA 02118
Suffolk County (617) 638-7330

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 Avital Angel Korman's NPI number?

The NPI number for Avital Angel Korman is 1750837407. It was assigned to this individual provider in the NPPES registry on August 31, 2016.

Where is Avital Angel Korman located?

Avital Angel Korman practices at 650 Albany St, Boston, MA 02118. The listed phone number is (617) 638-7330.

What is Avital Angel Korman's specialty?

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

Is Avital Angel Korman enrolled in Medicare?

Yes. Avital Angel Korman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Avital Angel Korman was last updated on September 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.