MARTIN KORNBLUM NPI 1679562722

NPI Information

  • NPI: 1679562722
  • Provider Name: MARTIN KORNBLUM
  • Classification: Orthopaedic Surgery - 207XS0117X
  • Specialization: Orthopaedic Surgery of the Spine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 11885 E 12 MILE RD
    200B
    WARREN, MI
    ZIP 48093
  • Phone: (586) 582-7070

Map and Directions

Get Directions

NPI Details

Martin Kornblum is an orthopaedic surgery of the spine orthopaedic surgery in Warren, MI. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. Martin Kornblum NPI is 1679562722. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11885 E 12 MILE RD
200B
WARREN, MI
ZIP 48093-474
Phone: (586) 582-7070
Fax: (586) 582-7066

The NPI 1679562722 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer 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.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes (HCPCS:97110)
  • Therapy procedure using manual technique, each 15 minutes (HCPCS:97140)
  • Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
  • X-ray of entire middle and lower spine, 2-3 views (HCPCS:72082)
  • Therapy procedure using functional activities (HCPCS:97530)
  • Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes (HCPCS:97112)
  • Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care (HCPCS:G0283)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • X-ray of middle spine, 2 views (HCPCS:72070)
  • X-ray of knee, 3 views (HCPCS:73562)

The enumeration date for this NPI number is 10/20/2005 and was last updated on 7/8/2007.

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
1207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the Spine4301063387MICHIGANYes

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
1H12621MEDICARE UPIN
2M9820004MEDICARE ID-TYPE UNSPECIFIED
34209319MEDICAIDMICHIGAN

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: 11/21/2025

NPI Synchronization or Removal

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.