Individual provider Active NPI

Nicolas M. Cordoba, MD

  • Pediatrics Physician
  • Binghamton, NY
National Provider Identifier
1700132628
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
337364 Issued in NY
Practice address
10-42 Mitchell Ave
Binghamton, NY 13903-1617
Phone
(607) 762-2468
NPI assigned
Jul 29, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 11883770-1205 UT
Pediatrics Physician 208000000X 337364 NY Primary

Addresses

Primary practice location

10-42 Mitchell Ave
Binghamton, NY 13903-1617

Mailing address

33 Lewis Rd
FL 2
Binghamton, NY 13905
Phone (607) 770-0025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, UT, FL, NY4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20180116001869 IL Practitioner - Internal Medicine 4486913696 Reassigns benefits to 1 organization
I20200921001106 UT Practitioner - Internal Medicine 4486913696
I20211122002898 FL Practitioner - Internal Medicine 4486913696 Reassigns benefits to 1 organization
I20250904000536 NY Practitioner - Pediatric Medicine 4486913696 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

33 Lewis Rd
Binghamton, NY 13905-1013

33 Lewis Rd
FL 2
Binghamton, NY 13905-1054

Merit-based Incentive Payment System (MIPS)

Final score
80.62 of 100Reported as group
Quality
64.25
Promoting interoperability
95
Improvement activities
40
Cost
41.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
United Medical Associates, P.C. CurrentSince Jul 27, 2025 Accepting new patients
United Medical Associates PC CurrentSince Jul 27, 2025 Accepting new patients
MD at Home Central Florida, LLC Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
United Health Services Hospitals, Inc. CurrentSince Jul 27, 2025 Accepting new patients
United Health Services Hospitals, Inc. Past Accepting new patients

Locations

8201 Peters Rd
Ste 1000
Plantation, FL 33324
Phone (312) 243-2223

91 Chenango Bridge Rd
Binghamton, NY 13901
Phone (607) 648-4151

33 Lewis Rd
Fl 2
Binghamton, NY 13905
Phone (607) 729-8156

10-42 Mitchell Ave
Binghamton, NY 13903
Phone (607) 762-2468

33-57 Harrison St
Johnson City, NY 13790
Phone (607) 763-6412

Interoperability endpoints

  • FHIR API: https://epicproxy.et1127.epichosted.com/FHIRproxy/api/FHIR/R4/
  • Direct secure messaging: nicolas.cordoba.1@3342.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1343520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1700132628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 LEWIS RD",
            "address_2": "FL 2",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "13905",
            "telephone_number": "607-770-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10-42 MITCHELL AVE",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139031617",
            "telephone_number": "607-762-2468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDOBA",
        "first_name": "NICOLAS",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-29",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "UT",
            "license": "11883770-1205",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "337364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Binghamton, NY

Sources for this page

Verify at the official NPI Registry.