Active NPI
Kadriye Meltem Koral, MD
- Diagnostic Radiology Physician
- Dallas, TX
National Provider Identifier
1508060674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 298162-1
- Practice address
- 4500 S. Lancaster Rd.
Department of Radiology
Dallas, TX 75216-7521 - Phone
- (214) 857-0185
- NPI assigned
- Jun 13, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Diagnostic Radiology Physician | 2085R0202X | 298162-1 | NY | Primary |
Addresses
Primary practice location
4500 S. Lancaster Rd.
Department of Radiology
Dallas, TX 75216-7521
Mailing address
4500 S. Lancaster Rd.
Department of Radiology
Dallas, TX 75216-7167
Phone (214) 857-0185
Other practice location 1
5201 Harry Hines Blvd
House Staff & Gme
Dallas, TX 75235-7708
Phone (214) 590-8058
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BP3-0021149 | Other | INSTITUTIONAL PERMIT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 298162-1 | NY | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556064000000",
"number": "1508060674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 S. LANCASTER RD.",
"address_2": "DEPARTMENT OF RADIOLOGY",
"city": "DALLAS",
"state": "TX",
"postal_code": "752167167",
"telephone_number": "214-857-0185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 S. LANCASTER RD.",
"address_2": "DEPARTMENT OF RADIOLOGY",
"city": "DALLAS",
"state": "TX",
"postal_code": "752167521",
"telephone_number": "214-857-0185"
}
],
"practiceLocations": [
{
"address_1": "5201 Harry Hines Blvd",
"address_2": "HOUSE STAFF & GME",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752357708",
"country_code": "US",
"telephone_number": "214-590-8058",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KORAL",
"first_name": "KADRIYE",
"middle_name": "MELTEM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-13",
"last_updated": "2019-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "298162-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INSTITUTIONAL PERMIT",
"identifier": "BP3-0021149",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.