DR. NICOLE GABRIELE COUFAL M.D.
NPI 1790079655
Pediatrics - Pediatric Critical Care Medicine in San Diego, CA

Active since June 07, 2011PECOS Enrolled
79.24/100
CMS Quality Rating
3020 CHILDRENS WAY, SAN DIEGO, CA 92123(858) 576-1700 Get Directions Write a Review

NPPES record last updated: February 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Nicole Gabriele Coufal M.d. NPPES

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

DR. NICOLE GABRIELE COUFAL M.D. (NPI 1790079655) is an individual pediatric critical care medicine provider in San Diego, California, licensed in California (A124395) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790079655
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameDR. NICOLE GABRIELE COUFALCredential: M.D.
Location Address3020 CHILDRENS WAYSan Diego, CA 92123-4223
Mailing Address3020 Childrens Way, Mc5003San Diego, CA 92123-4223 · (858) 576-1700
Sole ProprietorNo
Enumeration DateJune 7, 2011
Last NPPES UpdateFebruary 24, 2026
NPPES CertifiedFebruary 24, 2026
NPI 1790079655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License Licensed in CA · A124395
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedPediatricsTaxonomy 208000000X · License A124395 (CA)
3020 CHILDRENS WAY, San Diego, CA 92123

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Nicole Gabriele Coufal M.d. 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 Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.57
Improvement Activities40

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.

Pathology (Pediatric Pathology)
3020 CHILDRENS WAY
SAN DIEGO, CA 92123
Physician Assistant
3020 CHILDRENS WAY
SAN DIEGO, CA 92123
Pediatrics (Pediatric Infectious Diseases)
3020 CHILDRENS WAY
SAN DIEGO, CA 92123
Speech-Language Pathologist
3020 CHILDRENS WAY, MC5010
SAN DIEGO, CA 92123
Audiologist
3020 CHILDRENS WAY, MC 5010
SAN DIEGO, CA 92123
Pediatrics
3020 CHILDRENS WAY
SAN DIEGO, CA 92123
Pediatrics (Pediatric Emergency Medicine)
3020 CHILDRENS WAY
SAN DIEGO, CA 92123
Nurse Practitioner (Pediatrics)
3020 CHILDRENS WAY
SAN DIEGO, CA 92123

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 Nicole Coufal's NPI number?

The NPI number for Nicole Coufal is 1790079655. It was assigned to this individual provider in the NPPES registry on June 7, 2011.

Where is Nicole Coufal located?

Nicole Coufal practices at 3020 Childrens Way, San Diego, CA 92123. The listed phone number is (858) 576-1700.

What is Nicole Coufal's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Nicole Coufal enrolled in Medicare?

Yes. Nicole Coufal is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Coufal was last updated on February 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.