DAVID KORNELUK (MD) – Sports Medicine (Family Medicine) Physician, NPI 1689203788
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,661 FAMILY PRACTICE in CO
Provider Addresses for DAVID KORNELUK (MD)
425 S CHERRY ST STE 410
GLENDALE, CO 802461231
Phone:
Type: Mailing
39000 Bob Hope Dr
Rancho Mirage, CA 922703221
Phone: (760) 773-4504
Type: Location
60 Columbia St Ste 500
Orlando, FL 328061115
Phone: (321) 841-1692
Type: Location
39000 BOB HOPE DR
RANCHO MIRAGE, CA 922703221
Phone: (760) 773-4504
Type: Mailing
39000 BOB HOPE DR STE 201
RANCHO MIRAGE, CA 922703221
Phone: (760) 773-4504
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $163.
Total Amount is formed as General ($163) + Research ($0) + Ownership ($0) = $163.
Last reported payment date: 2024-06-28 • Largest payer in this snapshot: NeuroLogica Corporation, a subsidiary of Samsung Electronics Co., Ltd. ($150).
Total Amount
$163
General + Research + Ownership
Payments
2
Total payment records
General Amount
$163
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-28
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2024-12-18
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 |
|---|---|---|---|---|
| I20241218002890 | I | Family Practice | CO | 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 80246)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CO | |
| Nurse Practitioner | CO | |
| Internal Medicine | CO | |
| Physician Assistant | CO | |
| Family Practice | CO | |
| Physician Assistant | CO | |
| - | CO | |
| Internal Medicine | CO | |
| N E U R O L O G Y | CO |
Reviews
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