Organization Active NPI

Danilo B. Corales MD Inc

  • Adolescent Medicine (Internal Medicine) Physician
  • Lexington, KY
National Provider Identifier
1487972915
Registry record updated May 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X
License
32109 Issued in KY
Legal business name
DANILO B. CORALES MD INC
Practice address
1401 Harrodsburg Rd Ste B299
Lexington, KY 40504-3747
Phone
(859) 276-0714
Fax
(859) 276-0363
NPI assigned
May 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Danilo B Corales, MDNPI 1013951771
Title
Owner
Phone
(859) 276-0714

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RA0000X 32109 KY Primary

Addresses

Primary practice location

1401 Harrodsburg Rd Ste B299
Lexington, KY 40504-3747

Mailing address

1401 Harrodsburg Rd Ste B299
Lexington, KY 40504-3747
Phone (859) 276-0714

Other identifiers 1

IdentifierTypeStateIssuer
64321094MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100617000144 KY Part B Supplier - Clinic/Group Practice 3375673387 Receives reassigned benefits from 1 practitioner
Practice locations: Lexington, KY

National Provider Directory

National Provider Directory

Locations

1401 Harrodsburg Rd
Ste B299
Lexington, KY 40504
Phone (859) 272-0608

1608 Hill Rise Dr
Lexington, KY 40504
Phone (859) 254-2402

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273190400000",
    "number": "1487972915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 HARRODSBURG RD STE B299",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043747",
            "telephone_number": "859-276-0714",
            "fax_number": "859-276-0363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 HARRODSBURG RD STE B299",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043747",
            "telephone_number": "859-276-0714",
            "fax_number": "859-276-0363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANILO B. CORALES MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-07",
        "last_updated": "2010-05-07",
        "status": "A",
        "authorized_official_last_name": "CORALES",
        "authorized_official_first_name": "DANILO",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-276-0714",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "KY",
            "license": "32109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64321094",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.