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KORAL DADON MD
NPI 1538781802
Student in an Organized Health Care Education/Training Program in Mineola, NY

Active since May 10, 2020PECOS Enrolled
259 1ST ST LOWR LEVEL, MINEOLA, NY 11501(516) 663-8443 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 7, 2024, May 10, 2020 (2 updates tracked since 2020).

About Koral Dadon Md NPPES

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

KORAL DADON MD (NPI 1538781802) is an individual student in an organized health care education/training program in Mineola, New York and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538781802
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKORAL DADONCredential: MD
Location Address259 1ST ST LOWR LEVELMineola, NY 11501-3957
Mailing Address18217 Emelita StTarzana, CA 91356-1706
Phone(516) 663-8443
Sole ProprietorNo
Enumeration DateMay 10, 2020
Last NPPES UpdateMay 7, 20242 updates tracked since enumeration
NPPES CertifiedMay 10, 2020
✔ NPI 1538781802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
259 1ST ST LOWR LEVEL, Mineola, NY 11501
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Koral Dadon Md 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 Reassignment

Medicare enrollment records show Koral Dadon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
2,446 mi
Health Maintenance Organization
4647 ZION AVE
San Diego, CA 92120
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1225060742 (619) 528-5000

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 5

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

DYANA LAUREN PICACHE DO
Pediatrics
259 1ST ST LOWR LEVEL
MINEOLA, NY 11501
Nassau County (516) 663-8443
DR. MOHAMMED MALIK MD
Student in an Organized Health Care Education/Training Program
259 1ST ST LOWR LEVEL
MINEOLA, NY 11501
Nassau County (516) 663-8443
FATIN ISHRAQ MD
Student in an Organized Health Care Education/Training Program
259 1ST ST LOWR LEVEL
MINEOLA, NY 11501
Nassau County (516) 663-8443
CHERYL DINGLAS D.O.
Obstetrics & Gynecology
259 1ST ST LOWR LEVEL
MINEOLA, NY 11501
Nassau County (516) 663-8661
ALIZA GOLDSMITH MD
Pediatrics
259 1ST ST LOWR LEVEL
MINEOLA, NY 11501
Nassau County (516) 666-8443

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 Koral Dadon's NPI number?

The NPI number for Koral Dadon is 1538781802. It was assigned to this individual provider in the NPPES registry on May 10, 2020.

Where is Koral Dadon located?

Koral Dadon practices at 259 1st St Lowr Level, Mineola, NY 11501. The listed phone number is (516) 663-8443.

What is Koral Dadon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Koral Dadon enrolled in Medicare?

Yes. Koral Dadon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Koral Dadon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Koral Dadon reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, CA). 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 Koral Dadon'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 Koral Dadon was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.