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MICHAEL KOREN M.D.
NPI 1881914802
Internal Medicine - Infectious Disease in Silver Spring, MD

Active since June 02, 2010PECOS EnrolledAccepts Medicare Assignment
503 ROBERT GRANT AVE, SILVER SPRING, MD 20910(301) 319-9904 Get Directions Write a Review

NPPES record last updated: August 12, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michael Koren M.d. NPPES

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

MICHAEL KOREN M.D. (NPI 1881914802) is an individual infectious disease provider in Silver Spring, Maryland, licensed in Virginia (0101250400) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Chi Health Bergan Mercy, and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (2010).

NPPES Registry Identity

NPI1881914802
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameMICHAEL KORENCredential: M.D.
Location Address503 ROBERT GRANT AVESilver Spring, MD 20910-7500
Mailing Address503 Robert Grant AveSilver Spring, MD 20910-7500 · (301) 319-9904
Phone(301) 319-9904
Sole ProprietorNo
Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 2010
Enumeration DateJune 2, 2010
Last NPPES UpdateAugust 12, 2016
✔ NPI 1881914802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in VA · 0101250400
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
503 ROBERT GRANT AVE, Silver Spring, MD 20910
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Nebraska, Medica, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael Koren M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901038801
PECOS Enrollment IDI20230615000852
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
108 services55 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
30 services30 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
27 services26 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
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.
20 services14 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
18 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Chi Health Bergan Mercy

Acute Care Hospitals · Omaha, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280060
Location7500 Mercy RdOmaha, NE 68124 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20910 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

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

THOMAS CHARLES LUKE MD
Preventive Medicine (Public Health & General Preventive Medicine)
503 ROBERT GRANT AVE
SILVER SPRING, MD 20910
Montgomery County (301) 319-9653
DR. MARVIN JOEL SKLAR M.D.
Internal Medicine (Infectious Disease)
503 ROBERT GRANT AVE, NMRC IDD/VDRD
SILVER SPRING, MD 20910
Montgomery County (301) 319-7478
DR. CHRISTINE TINKHAM SCOTT MD, MPH
Pediatrics (Adolescent Medicine)
503 ROBERT GRANT AVE, ATTN: MRMC-UWK-B
SILVER SPRING, MD 20910
Montgomery County (301) 319-3069
DR. WILLIAM ELWOOD CULP DVM
Veterinarian
503 ROBERT GRANT AVE
SILVER SPRING, MD 20910
Montgomery County (301) 319-7491
MR. ROBERT KEITH WOLFSKILL ATC, CSCS
Specialist/Technologist (Athletic Trainer)
503 ROBERT GRANT AVE, BIOCHEMISTRY 2W130
SILVER SPRING, MD 20910
Montgomery County (301) 319-9462
DR. AMY MARIE MILLIKAN MD, MPH
Preventive Medicine (Public Health & General Preventive Medicine)
503 ROBERT GRANT AVE
SILVER SPRING, MD 20910
Montgomery County (301) 319-9916
DR. DAVID CHARLES SCHNABEL MD
Preventive Medicine (Public Health & General Preventive Medicine)
503 ROBERT GRANT AVE, WALTER REED ARMY INSTITUTE OF RESEARCH
SILVER SPRING, MD 20910
Montgomery County (301) 319-3170
DR. BRIGILDA COCOS TENEZA M.D.
Pediatrics
503 ROBERT GRANT AVE
SILVER SPRING, MD 20910
Montgomery County (301) 319-9184

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 Michael Koren's NPI number?

The NPI number for Michael Koren is 1881914802. It was assigned to this individual provider in the NPPES registry on June 2, 2010.

Where is Michael Koren located?

Michael Koren practices at 503 Robert Grant Ave, Silver Spring, MD 20910. The listed phone number is (301) 319-9904.

What is Michael Koren's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Michael Koren enrolled in Medicare?

Yes. Michael Koren is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Michael Koren accept?

Health plans from Blue Cross and Blue Shield of Nebraska, Medica and Oscar Insurance Company list Michael Koren as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Michael Koren affiliated with any hospitals?

According to CMS data, Michael Koren is affiliated with Chi Health Bergan Mercy.

When was this NPI record last updated?

The NPPES record for Michael Koren was last updated on August 12, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.