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ATANG KOODIRILE MD
NPI 1689519969
Student in an Organized Health Care Education/Training Program in Dover, DE

Active since April 22, 2026PECOS Enrolled
1074 S STATE ST, DOVER, DE 19901(302) 725-3200 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Atang Koodirile Md NPPES

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

ATANG KOODIRILE MD (NPI 1689519969) is an individual student in an organized health care education/training program in Dover, Delaware and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689519969
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameATANG KOODIRILECredential: MD
Location Address1074 S STATE STDover, DE 19901-6925
Mailing Address640 S State StDover, DE 19901-3530 · (302) 725-3200
Phone(302) 725-3200
Sole ProprietorNo
Enumeration DateApril 22, 2026
NPPES CertifiedApril 13, 2026
✔ NPI 1689519969 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.
1074 S STATE ST, Dover, DE 19901
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Atang Koodirile 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.

Other Providers at the Same Location NPPES 20

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

AUSTIN LONSKI
Family Medicine
1074 S STATE ST
DOVER, DE 19901
Kent County (302) 725-3200
CAMERON AVERY GOLDEN PHARMD
Pharmacist (Ambulatory Care)
1074 S STATE ST
DOVER, DE 19901
Kent County (302) 725-3200
GLORIA C OKPAH MD
Family Medicine
1074 S STATE ST
DOVER, DE 19901
Kent County (302) 725-3200
KANDIS KIMBERLY SAMUELS-LEUTZINGER MD
Family Medicine
1074 S STATE ST
DOVER, DE 19901
Kent County (302) 725-3214
MEGAN DOUGLAS
Family Medicine
1074 S STATE ST
DOVER, DE 19901
Kent County (302) 725-3200
DR. SAAD WAZIR KHAMISA MD
Student in an Organized Health Care Education/Training Program
1074 S STATE ST
DOVER, DE 19901
Kent County (302) 725-3200
ARIANA LEIGH ROSS SCHNEIDERHAN MD
Family Medicine
1074 S STATE ST
DOVER, DE 19901
Kent County (302) 725-3200
DR. TIMOTHY GOUGE MD
Family Medicine
1074 S STATE ST
DOVER, DE 19901
Kent County (302) 725-3200

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 Atang Koodirile's NPI number?

The NPI number for Atang Koodirile is 1689519969. It was assigned to this individual provider in the NPPES registry on April 22, 2026.

Where is Atang Koodirile located?

Atang Koodirile practices at 1074 S State St, Dover, DE 19901. The listed phone number is (302) 725-3200.

What is Atang Koodirile's specialty?

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

Is Atang Koodirile enrolled in Medicare?

Yes. Atang Koodirile is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Atang Koodirile was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.