KEITH F KORVER MD A PROFESSIONAL MEDICAL CORPORATION
NPI 1942316849
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Santa Rosa, CA
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 1942316849) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Santa Rosa, California and active in the NPI registry since August 2006. The organization lists Keith Forrest Korver, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Group Practice 1
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.
Clinicians Billing Medicare Through This Organization
2Medicare 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. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 1942316849. It was assigned to this organization in the NPPES registry on August 22, 2006.
Where is Keith F Korver MD A Professional Medical Corporation located?
Keith F Korver MD A Professional Medical Corporation is located at 3510 Unocal Pl Ste 207, Santa Rosa, CA 95403. The listed phone number is (707) 569-7860.
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. Of these, 2 practice within 10 miles. 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.
# Keith F Korver Md A Professional Medical Corporation · NPI 1942316849
Thoracic Surgery (Cardiothoracic Vascular Surgery) organization in Santa Rosa, California. Organization record, active in the CMS NPPES registry since August 22, 2006.
## Identity
- **NPI:** 1942316849 (Entity type: Organization)
- **Enumerated:** August 22, 2006
- **Primary specialty:** Thoracic Surgery (Cardiothoracic Vascular Surgery) · taxonomy 208G00000X
- **Organization subpart:** No
- **Authorized official:** Keith Korver, PRESIDENT
## Practice location
- **Address:** 3510 UNOCAL PL STE 207, Santa Rosa, CA 95403-0918
- **Phone:** (707) 569-7860 · **Fax:** (707) 545-5408
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: General Surgery (1), Thoracic Surgery (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 15, 2021
- **Other identifiers:** Medicaid GR0090987 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1942316849) · Data from the CMS NPPES public registry.