ADRIAN KORDUBA (MD) – Emergency Medicine Physician, NPI 1134530710
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,790 EMERGENCY MEDICINE in CA
Provider Addresses for ADRIAN KORDUBA (MD)
200 MERCY CIRCLE
CAMP PENDLETON, CA 92055
Phone: (760) 725-1288
Type: Location
34800 BOB WILSON DR
NAVAL MEDICAL CTR
SAN DIEGO, CA 921345000
Phone:
Type: Mailing
200 MERCY CIR
CAMP PENDLETON, CA 92055
Phone: (760) 725-1288
Type: Mailing
690 ELM ST
GLEN ELLYN, IL 601373930
Phone: (862) 579-5345
Type: Mailing
1969 W OGDEN AVE
CHICAGO, IL 606123765
Phone: (312) 864-6000
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: 2022-09-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220929001988 | I | Emergency Medicine | IL | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92055)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | WV | |
| Emergency Medicine | WI | |
| Nurse Practitioner | IL | |
| Emergency Medicine | MI | |
| Nurse Practitioner | WI | |
| Emergency Medicine | IL | |
| Emergency Medicine | IL | |
| Emergency Medicine | MI | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | WI |
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