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DR. CORAL D. NICHOLAS
NPI 1184695884
General Practice in Rome, NY

Active since January 30, 2006PECOS Enrolled
1316 BLACK RIVER BLVD N, ROME, NY 13440(315) 336-3353(315) 336-3356 Get Directions Write a Review

NPPES record last updated: August 30, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Coral D. Nicholas NPPES

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

DR. CORAL D. NICHOLAS (NPI 1184695884) is an individual general practice provider in Rome, New York, licensed in New York (203978-1) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184695884
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. CORAL D. NICHOLAS
Location Address1316 BLACK RIVER BLVD NRome, NY 13440-3601
Mailing Address1316 Black River Blvd NRome, NY 13440-3601 · (315) 336-3353 · Fax (315) 336-3356
Phone(315) 336-3353
Fax(315) 336-3356
Sole ProprietorNo
Enumeration DateJanuary 30, 2006
Last NPPES UpdateAugust 30, 2012
✔ NPI 1184695884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in NY · 203978-1
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedAnesthesiologyTaxonomy 207L00000X · License 203978-1 (NY)
1316 BLACK RIVER BLVD N, Rome, NY 13440
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Other Identifiers 2

Medicare PINBB8874NY
Medicare UPING36622NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Coral D. Nicholas 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers24 claims55 services$5.48 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

MOHAMMED S SEEDAT M.D.
Internal Medicine (Pulmonary Disease)
1316 BLACK RIVER BLVD N
ROME, NY 13440
Oneida County (315) 336-3353
MOHAMMED SEEDAT MD AND CORAL NICHOLAS MD PLLC
Internal Medicine (Pulmonary Disease)
1316 BLACK RIVER BLVD N
ROME, NY 13440
Oneida County (315) 336-3353

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 Coral Nicholas's NPI number?

The NPI number for Coral Nicholas is 1184695884. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Where is Coral Nicholas located?

Coral Nicholas practices at 1316 Black River Blvd N, Rome, NY 13440. The listed phone number is (315) 336-3353.

What is Coral Nicholas's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Coral Nicholas enrolled in Medicare?

Yes. Coral Nicholas is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Coral Nicholas was last updated on August 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.