KEITH F KORVER MD A PROFESSIONAL MEDICAL CORPORATION
NPI 1790819613
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Larkspur, CA

Active since March 15, 2007
2 BON AIR RD, STE 100, LARKSPUR, CA 94939(415) 927-0666(415) 927-6168 Get Directions Write a Review

NPPES record last updated: July 15, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 15, 2021, Apr 11, 2017 (2 updates tracked since 2017).

About Keith F Korver Md A Professional Medical Corporation NPPES

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

KEITH F KORVER MD A PROFESSIONAL MEDICAL CORPORATION (NPI 1790819613) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Larkspur, California and active in the NPI registry since March 2007. The organization lists Keith F Korver, President, as its authorized official.

NPPES Registry Identity

NPI1790819613
Entity TypeOrganization
Primary Taxonomy208G00000X
Legal Business NameKEITH F KORVER MD A PROFESSIONAL MEDICAL CORPORATION
Location Address2 BON AIR RD, STE 100Larkspur, CA 94939-1144
Mailing Address3510 Unocal Pl Ste 207Santa Rosa, CA 95403-0918 · (707) 569-7860 · Fax (707) 545-5408
Fax(415) 927-6168
Organization SubpartNo
Authorized OfficialKeith F KorverPresident · (707) 569-7860
Enumeration DateMarch 15, 2007
Last NPPES UpdateJuly 15, 20212 updates tracked since enumeration
NPPES CertifiedJuly 15, 2021
✔ NPI 1790819613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Also ListedSurgeryTaxonomy 208600000X
2 BON AIR RD, Larkspur, CA 94939

Other Identifiers 1

MedicaidGR0090980CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keith F Korver Md A Professional Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20050713000816Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Keith F Korver MD A Professional Medical Corporation, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

General Surgery
NPI 1689989733
3536 MENDOCINO AVE STE 200
Santa Rosa, CA 95403
(707) 573-6166
✔ PECOS✔ Accepts Medicare38 mi
Thoracic Surgery
NPI 1316946130
3510 UNOCAL PL STE 207
Santa Rosa, CA 95403
(707) 569-7860
✔ PECOS✔ Accepts Medicare38 mi

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

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 Keith F Korver MD A Professional Medical Corporation's NPI number?

The NPI number for Keith F Korver MD A Professional Medical Corporation is 1790819613. It was assigned to this organization in the NPPES registry on March 15, 2007.

Where is Keith F Korver MD A Professional Medical Corporation located?

Keith F Korver MD A Professional Medical Corporation is located at 2 Bon Air Rd Ste 100, Larkspur, CA 94939. The listed phone number is (415) 927-0666.

What is Keith F Korver MD A Professional Medical Corporation's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Keith F Korver MD A Professional Medical Corporation enrolled in Medicare?

Yes. Keith F Korver MD A Professional Medical Corporation is registered in the Medicare PECOS enrollment system.

When is Keith F Korver MD A Professional Medical Corporation's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Keith F Korver MD A Professional Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Keith F Korver MD A Professional Medical Corporation, in General Surgery and Thoracic Surgery. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Keith F Korver MD A Professional Medical Corporation was last updated on July 15, 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.