ELIJAH SHALAAR DORNEVAL
NPI 1124859590
Physician Assistant - Surgical in Tallahassee, FL

Active since August 08, 2024PECOS EnrolledAccepts Medicare Assignment
1401 CENTERVILLE ROAD, SUITE 300, TALLAHASSEE, FL 32308(850) 877-5115 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 5, 2025, Dec 31, 2024, Aug 8, 2024 (3 updates tracked since 2024).

About Elijah Shalaar Dorneval NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIJAH SHALAAR DORNEVAL (NPI 1124859590) is an individual surgical provider in Tallahassee, Florida and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS, is affiliated with Tallahassee Memorial Healthcare, and maintains a secondary practice location in Tallahassee.

NPPES Registry Identity

NPI1124859590
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameELIJAH SHALAAR DORNEVAL
Location Address1401 CENTERVILLE ROAD, SUITE 300Tallahassee, FL 32308
Mailing Address1401 Centerville Road Suite 300Tallahassee, FL 32308 · (850) 877-5115
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 8, 2024
Last NPPES UpdateMarch 5, 20253 updates tracked since enumeration
NPPES CertifiedMarch 5, 2025
NPI 1124859590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
1401 CENTERVILLE ROAD, SUITE 300, Tallahassee, FL 32308

Secondary Practice Location 1

Location 1Florida State University College of Medicine, School of PA Practice 1115 W Call StreetTallahassee, FL 32306 · Phone (786) 623-1784

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Elijah Shalaar Dorneval 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.

PECOS PAC ID7810418613
PECOS Enrollment IDI20250310002307
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tallahassee Memorial Healthcare

Acute Care Hospitals · Tallahassee, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100135
Location1300 Miccosukee RdTallahassee, FL 32308 · Leon County
Emergency services Birthing friendly

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 Elijah Dorneval's NPI number?

The NPI number for Elijah Dorneval is 1124859590. It was assigned to this individual provider in the NPPES registry on August 8, 2024.

Where is Elijah Dorneval located?

Elijah Dorneval practices at 1401 Centerville Road, Suite 300, Tallahassee, FL 32308. The listed phone number is (850) 877-5115.

What is Elijah Dorneval's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Elijah Dorneval enrolled in Medicare?

Yes. Elijah Dorneval 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.

What insurance does Elijah Dorneval accept?

Health plans from Ambetter Health and Ambetter of Alabama list Elijah Dorneval as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Elijah Dorneval affiliated with any hospitals?

According to CMS data, Elijah Dorneval is affiliated with Tallahassee Memorial Healthcare.

When was this NPI record last updated?

The NPPES record for Elijah Dorneval was last updated on March 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.