KORDAI I DECOTEAU DPM
NPI 1104872225
Podiatrist in Hyattsville, MD
About Kordai I Decoteau Dpm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KORDAI I DECOTEAU DPM (NPI 1104872225) is an individual podiatrist in Hyattsville, Maryland, licensed in Maryland (01819) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of New York College Of Podiatric Medicine (2001).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kordai I Decoteau Dpm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Kordai Decoteau reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hyattsville, MD 20785
- Reassigned Medicare billing, District of Columbia enrollment
- 17 clinicians in this Medicare group
Phillipsburg, NJ 08865
- Reassigned Medicare billing, New Jersey enrollment
- 63 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20785 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HYATTSVILLE, MD 20785
HYATTSVILLE, MD 20785
HYATTSVILLE, MD 20785
HYATTSVILLE, MD 20785
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kordai Decoteau's NPI number?
The NPI number for Kordai Decoteau is 1104872225. It was assigned to this individual provider in the NPPES registry on May 26, 2006.
Where is Kordai Decoteau located?
Kordai Decoteau practices at 4301 Garden City Dr Ste 304, Hyattsville, MD 20785. The listed phone number is (301) 235-0060.
What is Kordai Decoteau's specialty?
The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.
Is Kordai Decoteau enrolled in Medicare?
Yes. Kordai Decoteau is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kordai Decoteau's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kordai Decoteau reassigns Medicare benefits to 2 organizations: Wellness Source LLC (Hyattsville, MD) and Neighborhood Health Services Corporation (Phillipsburg, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kordai Decoteau's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kordai Decoteau was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kordai I Decoteau, DPM · NPI 1104872225
Podiatrist provider in Hyattsville, Maryland. Individual provider, active in the CMS NPPES registry since May 26, 2006.
## Identity
- **NPI:** 1104872225 (Entity type: Individual)
- **Enumerated:** May 26, 2006
- **Primary specialty:** Podiatrist · taxonomy 213E00000X
- **State license:** 01819 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 4301 GARDEN CITY DR STE 304, Hyattsville, MD 20785-6105
- **Phone:** (301) 235-0060 · **Fax:** (240) 324-7720
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Wellness Source LLC (NPI 1780031724, Hyattsville, MD); Neighborhood Health Services Corporation (NPI 1003850488, Phillipsburg, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New York College Of Podiatric Medicine, class of 2001
## Record status
- **NPPES last updated:** May 28, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1104872225) · Data from the CMS NPPES public registry.