DORY R KAFOURE MA, CCC-SLP
NPI 1649033697
Speech-Language Pathologist in San Diego, CA
About Dory R Kafoure Ma, Ccc-slp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DORY R KAFOURE MA, CCC-SLP (NPI 1649033697) is an individual speech-language pathologist provider in San Diego, California, licensed in California (17582) and active in the NPI registry since February 2024. She is a graduate of Other (1977).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dory R Kafoure Ma, Ccc-slp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Dory Kafoure reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92128
- Reassigned Medicare billing, California enrollment
- 12 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.
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 Dory Kafoure's NPI number?
The NPI number for Dory Kafoure is 1649033697. It was assigned to this individual provider in the NPPES registry on February 2, 2024.
Where is Dory Kafoure located?
Dory Kafoure practices at 18153 Sun Maiden Ct, San Diego, CA 92127. The listed phone number is (858) 722-4127.
What is Dory Kafoure's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Dory Kafoure enrolled in Medicare?
Yes. Dory Kafoure is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Dory Kafoure's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dory Kafoure reassigns Medicare benefits to Stac Physical Therapy Pfi, Inc (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 Dory Kafoure'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 Dory Kafoure was last updated on February 2, 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.
# Dory R Kafoure, MA, CCC-SLP · NPI 1649033697
Speech-Language Pathologist provider in San Diego, California. Individual provider, active in the CMS NPPES registry since February 2, 2024.
## Identity
- **NPI:** 1649033697 (Entity type: Individual)
- **Enumerated:** February 2, 2024
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **State license:** 17582 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 18153 SUN MAIDEN CT, San Diego, CA 92127-3102
- **Phone:** (858) 722-4127
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Stac Physical Therapy Pfi, Inc (NPI 1427703354, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1977
## Record status
- **NPPES last updated:** February 2, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1649033697) · Data from the CMS NPPES public registry.