DR. KHADIDJA KORAIBAA (MD) – Hospitalist Physician, NPI 1356451041
Hospitalist Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. KHADIDJA KORAIBAA (MD)
Century Medical Drive, Titusville, Brevard County, Florida, 32796, United States of America
SUITE C
TITUSVILLE, FL 327962100
Phone: (321) 268-6264
Fax: (321) 268-6360
Type: Mailing
Parrish Medical Center, 951, North Washington Avenue, Titusville, Brevard County, Florida, 32796, United States
PARRISH MEDICAL GROUP. HOSPITALIST DEPT
TITUSVILLE, FL 327962163
Phone: (321) 268-6111
Fax: (321) 268-6360
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2012-07-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120717000307 | I | Internal Medicine | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32796)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OH | |
| - | OH | |
| Internal Medicine | NY | |
| Internal Medicine, Internal Medicine, Hospitalist, Family Practice | MA | |
| Internal Medicine | FL | |
| Hospitalist, Internal Medicine | IA | |
| Internal Medicine | CA | |
| Family Practice | VA | |
| Hospitalist, Internal Medicine | FL | |
| Internal Medicine, Hospitalist, Internal Medicine | NV |
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