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DR. LAUREL DIANE KORTUM M.D. NPI 1295773729


NPI Information

NPI: 1295773729
Provider Name: DR. LAUREL DIANE KORTUM, M.D.
Classification: Anesthesiology - 207LP2900X
Entity Type: Individual

Specialization: Pain Medicine

PECOS Registration: Yes

Address:
3620 JOSEPH SIEWICK DR
STE 202
FAIRFAX, VA
ZIP 22033
Phone: (703) 922-9501
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DR. Laurel Diane Kortum, M.D. is a pain medicine anesthesiology in Fairfax, VA with 22 years of experience. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. DR. Laurel Diane Kortum, M.D. NPI is 1295773729. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduation Year:2002

The provider's business location address is:

3620 JOSEPH SIEWICK DR
STE 202
FAIRFAX, VA
ZIP 22033-756
Phone: (703) 922-9501

The NPI 1295773729 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ultrasonic guidance imaging supervision and interpretation for insertion of needle (HCPCS:76942)
  • Anesthesia for diagnostic examination of large bowel using an endoscope (HCPCS:00812)
  • Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope (HCPCS:00731)
  • Anesthesia for procedure on esophagus, stomach, small bowel, and/or large bowel using an endoscope (HCPCS:00813)
  • Anesthesia for procedure in upper abdomen including use of an endoscope (HCPCS:00790)
  • Anesthesia for open or endoscopic total knee joint replacement (HCPCS:01402)

The enumeration date for this NPI number is 6/4/2006 and was last updated on 3/5/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207L00000XAnesthesiologyTEP4621NEBRASKANo
2207LP2900XAnesthesiologyPain Medicine0101240278VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
19445356OTHERVIRGINIAPHCS
2I65740MEDICARE UPINVIRGINIA
31295773729MEDICAIDVIRGINIA
4K142-0001OTHERVIRGINIACARE FIRST 2005
5033579OTHERVIRGINIAANTHEM
6484645OTHERVIRGINIANCPPO
7011646F81MEDICARE PINVIRGINIA
8020367F89MEDICARE PINDISTRICT OF COLUMBIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.