NIDAL S ELIAS DDS PA
NPI 1477845865
Clinic/Center - Dental in Jacksonville, FL
About Nidal S Elias Dds Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NIDAL S ELIAS DDS PA (NPI 1477845865) is a healthcare organization registered as a dental in Jacksonville, Florida and active in the NPI registry since May 2011. The organization lists Nidal Salem Elias, Prosthodontist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nidal S Elias Dds Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Nidal S Elias DDS PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
Jacksonville, FL 32256
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Nidal S Elias Dds PA's NPI number?
The NPI number for Nidal S Elias Dds PA is 1477845865. It was assigned to this organization in the NPPES registry on May 4, 2011.
Where is Nidal S Elias Dds PA located?
Nidal S Elias Dds PA is located at 9250 Baymeadows Rd Ste 300, Jacksonville, FL 32256. The listed phone number is (904) 731-2120.
What is Nidal S Elias Dds PA's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.
Is Nidal S Elias Dds PA enrolled in Medicare?
Yes. Nidal S Elias Dds PA is registered in the Medicare PECOS enrollment system.
When is Nidal S Elias Dds PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Nidal S Elias Dds PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Nidal S Elias Dds PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Nidal S Elias Dds PA was last updated on May 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Nidal S Elias Dds Pa · NPI 1477845865
Dental organization in Jacksonville, Florida. Organization record, active in the CMS NPPES registry since May 4, 2011.
## Identity
- **NPI:** 1477845865 (Entity type: Organization)
- **Enumerated:** May 4, 2011
- **Primary specialty:** Clinic/Center - Dental · taxonomy 261QD0000X
- **Organization subpart:** No
- **Authorized official:** Nidal Elias, PROSTHODONTIST
## Practice location
- **Address:** 9250 BAYMEADOWS RD, STE 300, Jacksonville, FL 32256-1883
- **Phone:** (904) 731-2120 · **Fax:** (904) 731-9235
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Florida, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Oral Surgery) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 4, 2011
- **Other identifiers:** Medicare UPIN U03389 (FL); Medicare PIN 63500A (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1477845865) · Data from the CMS NPPES public registry.