DR. CORAL D. NICHOLAS
NPI 1184695884
General Practice in Rome, NY
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
Specialties & Licenses 2
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Coral D. Nicholas is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Coral Nicholas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rome, NY 13440
- Reassigned Medicare billing, New York enrollment
- 2 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.
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.
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.
ROME, NY 13440
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.
Which organization bills Medicare for Coral Nicholas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Coral Nicholas reassigns Medicare benefits to Mohammed Seedat MD And Coral Nicholas MD PLLC (Rome, NY). The 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 Coral Nicholas'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 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 14 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.
# Dr. Coral D. Nicholas · NPI 1184695884
General Practice physician in Rome, New York. Individual provider, active in the CMS NPPES registry since January 30, 2006.
## Identity
- **NPI:** 1184695884 (Entity type: Individual)
- **Enumerated:** January 30, 2006
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** 203978-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1316 BLACK RIVER BLVD N, Rome, NY 13440-3601
- **Phone:** (315) 336-3353 · **Fax:** (315) 336-3356
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mohammed Seedat MD And Coral Nicholas MD PLLC (NPI 1851564942, Rome, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 30, 2012
- **Other identifiers:** Medicare PIN BB8874 (NY); Medicare UPIN G36622 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1184695884) · Data from the CMS NPPES public registry.