CORAM PODIATRY PLLC
NPI 1902520810
Podiatrist in Coram, NY
About Coram Podiatry Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CORAM PODIATRY PLLC (NPI 1902520810) is a healthcare organization registered as a podiatrist in Coram, New York and active in the NPI registry since October 2022. The organization lists Tammy Campbell, Credentialing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Coram Podiatry Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Coram Podiatry PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 Coram Podiatry PLLC's NPI number?
The NPI number for Coram Podiatry PLLC is 1902520810. It was assigned to this organization in the NPPES registry on October 4, 2022.
Where is Coram Podiatry PLLC located?
Coram Podiatry PLLC is located at 100 Middle Country Rd, Coram, NY 11727. The listed phone number is (631) 696-9636.
What is Coram Podiatry PLLC's specialty?
The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.
Is Coram Podiatry PLLC enrolled in Medicare?
Yes. Coram Podiatry PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Coram Podiatry PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Podiatry, reassign their Medicare billing to Coram Podiatry PLLC. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Coram Podiatry PLLC was last updated on October 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Coram Podiatry Pllc · NPI 1902520810
Podiatrist organization in Coram, New York. Organization record, active in the CMS NPPES registry since October 4, 2022.
## Identity
- **NPI:** 1902520810 (Entity type: Organization)
- **Enumerated:** October 4, 2022
- **Primary specialty:** Podiatrist · taxonomy 213E00000X
- **Organization subpart:** No
- **Authorized official:** Tammy Campbell, CREDENTIALING MANAGER
## Practice location
- **Address:** 100 MIDDLE COUNTRY RD, Coram, NY 11727-4412
- **Phone:** (631) 696-9636
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Podiatry) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 4, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1902520810) · Data from the CMS NPPES public registry.