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DANIEL J CARDONA M.D.
NPI 1164456760
Psychiatry & Neurology - Child & Adolescent Psychiatry in Coal Grove, OH

Active since July 10, 2006PECOS Enrolled
225 CARLTON DAVIDSON LN, COAL GROVE, OH 45638(740) 533-0648(740) 353-1662 Get Directions Write a Review

NPPES record last updated: May 27, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 27, 2026, Jun 12, 2023 (2 updates tracked since 2023).

About Daniel J Cardona M.d. NPPES

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

DANIEL J CARDONA M.D. (NPI 1164456760) is an individual child & adolescent psychiatry provider in Coal Grove, Ohio, licensed in Ohio (35.089166) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Maysville.

NPPES Registry Identity

NPI1164456760
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDANIEL J CARDONACredential: M.D.
Location Address225 CARLTON DAVIDSON LNCoal Grove, OH 45638-2924
Mailing Address225 Carlton Davidson LnCoal Grove, OH 45638-2924 · (740) 533-0648 · Fax (740) 353-1662
Phone(740) 533-0648
Fax(740) 353-1662
Sole ProprietorNo
Enumeration DateJuly 10, 2006
Last NPPES UpdateMay 27, 20262 updates tracked since enumeration
NPPES CertifiedMay 27, 2026
✔ NPI 1164456760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Licenses✔ Licensed in OH · 35.089166✔ Licensed in KY · 30103
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
225 CARLTON DAVIDSON LN, Coal Grove, OH 45638
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Secondary Practice Location 1

Location 1611 Forest AveMaysville, KY 41056-1411 · Phone (606) 564-4016 ext. 2024 · Fax (606) 564-8288

Other Identifiers 2

Medicaid0127440OH
Medicaid30608012KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Daniel J Cardona M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Daniel Cardona reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Shawnee Mental Health Center Inc
24 mi
Federally Qualified Health Center (FQHC)
1225 GALLIA ST RM 121
Portsmouth, OH 45662
  • Reassigned Medicare billing, Ohio enrollment
  • 49 clinicians in this Medicare group
NPI 1336777077 (740) 354-8608
Comprehend Inc Regional Mental Health- Mental Retardation Board Inc
61 mi
Community/Behavioral Health
611 FOREST AVE
Maysville, KY 41056
  • Reassigned Medicare billing, Kentucky enrollment
  • 18 clinicians in this Medicare group
NPI 1720019987 (606) 564-4016

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUSTIN TRIPLETT LPN
Registered Nurse
225 CARLTON DAVIDSON LN
COAL GROVE, OH 45638
Lawrence County (740) 533-0648
MRS. KAYLA JEAN KELLEY PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
225 CARLTON DAVIDSON LN
COAL GROVE, OH 45638
Lawrence County (740) 533-6280
COURTNEY HAYDEN
Case Manager/Care Coordinator
225 CARLTON DAVIDSON LN
COAL GROVE, OH 45638
Lawrence County (740) 533-0648
SHAWNEE MENTAL HEALTH CENTER, INC.
Pharmacy (Community/Retail Pharmacy)
225 CARLTON DAVIDSON LN
COAL GROVE, OH 45638
Lawrence County (740) 533-0648
TRACY DAWN SCHUH LCDCIII
Social Worker
225 CARLTON DAVIDSON LN
COAL GROVE, OH 45638
Lawrence County (740) 442-7637
ERIC DEPRIEST
Social Worker (School)
225 CARLTON DAVIDSON LN
COAL GROVE, OH 45638
Lawrence County (740) 533-0648
SHAWNEE MENTAL HEALTH CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
225 CARLTON DAVIDSON LN
COAL GROVE, OH 45638
Lawrence County (740) 533-6280
JOHN HOCEVAR
Counselor (Professional)
225 CARLTON DAVIDSON LN
COAL GROVE, OH 45638
Lawrence County (740) 533-0648

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 Daniel Cardona's NPI number?

The NPI number for Daniel Cardona is 1164456760. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Daniel Cardona located?

Daniel Cardona practices at 225 Carlton Davidson Ln, Coal Grove, OH 45638. The listed phone number is (740) 533-0648.

What is Daniel Cardona's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Daniel Cardona enrolled in Medicare?

Yes. Daniel Cardona is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Daniel Cardona's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Cardona reassigns Medicare benefits to 2 organizations: Shawnee Mental Health Center Inc (Portsmouth, OH) and Comprehend Inc Regional Mental Health- Mental Retardation Board Inc (Maysville, KY). 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 Daniel Cardona's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daniel Cardona accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Oscar Health Insurance and Oscar Insurance Corporation of Ohio list Daniel Cardona 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.

When was this NPI record last updated?

The NPPES record for Daniel Cardona was last updated on May 27, 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.