DR. PHILIP EFRAIM KORSUN (DO) – Internal Medicine Physician, NPI 1053872309

DR. PHILIP EFRAIM KORSUN (DO) is a healthcare provider. based in Calabasas, California. specializing in INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. 20A19382 (CA). The NPI Number for DR. PHILIP EFRAIM KORSUN (DO) is 1053872309

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. PHILIP EFRAIM KORSUN (DO)
NPI
1053872309
Phone
(323) 610-8965
Address
4307 FREEDOM DR UNIT 3
Enumeration Date
28 March 2019
Last Update Date
26 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3105535203
Graduation Year
2019 (7 years ago)
PAC ID
8820478977
Group Practice PAC ID
5294783080
Professional Enrollment ID
I20220706003843
Address ID
CA902112003BE8920XBLVD302

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:7State licenses:1Other namesUpdated within 12 months

21,511 INTERNAL MEDICINE in CA

Provider Addresses for DR. PHILIP EFRAIM KORSUN (DO)

  • 4307 FREEDOM DR UNIT 3

    CALABASAS, CA 913025129

    Phone: (323) 610-8965

    Type: Mailing

  • 14850 ROSCOE BLVD

    PANORAMA CITY, CA 914024677

    Phone: (818) 787-2222

    Type: Location

  • 6911 GOODLAND AVE

    NORTH HOLLYWOOD, CA 916055135

    Phone: (323) 610-8965

    Type: Mailing

  • Medical City Fort Worth, 900, 8th Avenue, Fort Worth, Tarrant County, Texas, 76104, United States

    FORT WORTH, TX 761043902

    Phone: (817) 877-5292

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-07-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220706003843IInternal MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes322115$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes5353$0
View full utilization report →

Insurance plans in this area (ZIP 91302)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5294783080View full group profile
NameSpecialtyState
U R O L O G YCA
U R O L O G YCA
Internal MedicineCA
N E U R O L O G YNY
Nurse PractitionerCA
Rheumatology, Internal MedicineCA
Critical Care (Intensivists), Pulmonary DiseaseMA
Critical Care (Intensivists), Pulmonary DiseaseCA
Hospitalist, Internal Medicine, Sleep MedicineCA
P S Y C H I A T R YCA

Reviews

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Frequently asked questions

Is there an official ID for DR. PHILIP EFRAIM KORSUN (DO) in U.S. healthcare records?
The official identifier for DR. PHILIP EFRAIM KORSUN (DO) is NPI 1053872309.
Active or inactive — what applies to DR. PHILIP EFRAIM KORSUN (DO)?
You should see DR. PHILIP EFRAIM KORSUN (DO) as active in CMS-hosted NPPES data.
What area of care is associated with DR. PHILIP EFRAIM KORSUN (DO)?
DR. PHILIP EFRAIM KORSUN (DO)'s record emphasizes Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. PHILIP EFRAIM KORSUN (DO)?
Travel planning: use Calabasas, California as the reference point for DR. PHILIP EFRAIM KORSUN (DO), then confirm.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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