CORALIS HEALTH, LLC – Developmental - Behavioral Pediatrics Physician, NPI 1891574927
Developmental - Behavioral Pediatrics Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for CORALIS HEALTH, LLC
47 W DIVISION ST STE 360
CHICAGO, IL 606102419
Phone: (708) 722-6061
Type: Mailing
4 WALKER AVE STE B
CLARENDON HILLS, IL 605141351
Phone: (708) 722-6218
Type: Location
47 W Division St Ste 360
Chicago, IL 606102419
Phone: (708) 722-6061
Type: Location
501 S Sharon Amity Rd Ste 500
Charlotte, NC 282112897
Phone: (980) 890-8668
Type: Location
615 Main St
Nashville, TN 372063603
Phone: (615) 866-1750
Fax: (833) 471-2100
Type: Location
801 E 2nd Ave
Spokane, WA 992022225
Phone: (509) 590-0618
Fax: (833) 471-2100
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: 2024-02-16
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 |
|---|---|---|---|---|
| O20240216004423 | O | Clinic/Group Practice | NC | 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 60610)
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Reviews
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