NICHOLAS JAMES CORIASSO (DO) – Interventional Cardiology Physician, NPI 1194257709

NICHOLAS JAMES CORIASSO (DO) is a healthcare provider. based in Petoskey, Michigan. specializing in INTERVENTIONAL CARDIOLOGY. They hold the professional credentials DO. They hold a License No. 5101025590 (MI). The NPI Number for NICHOLAS JAMES CORIASSO (DO) is 1194257709

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS JAMES CORIASSO (DO)
NPI
1194257709
Phone
(800) 248-6777
Address
416 CONNABLE AVE
Enumeration Date
2 April 2017
Last Update Date
14 June 2024

Doctor Profile

Medical School Name
WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Secondary Phone
2314874000
Graduation Year
2017 (9 years ago)
PAC ID
9830465715
Group Practice PAC ID
9931018181
Professional Enrollment ID
I20240613002458
Address ID
MI497702212PE416XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:9State licenses:1Digital endpointsOther names

304 INTERVENTIONAL CARDIOLOGY in MI

Provider Addresses for NICHOLAS JAMES CORIASSO (DO)

  • 416 CONNABLE AVE

    PETOSKEY, MI 497702212

    Phone: (800) 248-6777

    Type: Mailing

  • Moross Road, Detroit, Wayne County, Michigan, 48205, United States

    DETROIT, MI 482362166

    Phone: (313) 343-7774

    Fax: (313) 343-8747

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 79 Open Payments records for all available years, with a total value of $3,576.

Total Amount is formed as General ($3,576) + Research ($0) + Ownership ($0) = $3,576.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: ABIOMED ($1,046).

Total Amount

$3,576

General + Research + Ownership

Payments

79

Total payment records

General Amount

$3,576

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-06-13

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240613002458IInterventional CardiologyMITBD

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.

Verify on CMS Revalidation Lookup Tool

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 49770)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9931018181View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine, Cardiovascular Disease (Cardiology)VA
Thoracic Surgery, Cardiac SurgeryMI
N E U R O L O G YMI
Physical Medicine And RehabilitationMI
Hospitalist, Internal MedicineMI
-MI
P S Y C H I A T R YOH
Internal Medicine, Geriatric MedicineMI
Sleep Medicine, Critical Care (Intensivists), Pulmonary DiseaseMI
Physician AssistantMI

Reviews

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Frequently asked questions

What unique ID ties claims to NICHOLAS JAMES CORIASSO (DO)?
NPI 1194257709 is assigned to NICHOLAS JAMES CORIASSO (DO) under the national enumeration system.
Is NICHOLAS JAMES CORIASSO (DO) active in the national directory?
NICHOLAS JAMES CORIASSO (DO)'s public NPI profile is in an active state.
What kind of provider is NICHOLAS JAMES CORIASSO (DO)?
The page reflects Interventional Cardiology Physician for NICHOLAS JAMES CORIASSO (DO). Clinical services aligned with this taxonomy classification.
Where is NICHOLAS JAMES CORIASSO (DO)'s primary listing?
We display Petoskey, Michigan because that is what the record indicates for NICHOLAS JAMES CORIASSO (DO).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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