Active NPI
Kerolos Abadeer, MD
- Gastroenterology Physician
- Orange Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- ME161157
- Practice address
- 805 Wells Rd
Orange Park, FL 32073-2301 - Phone
- (042) 649-7979
- Fax
- (904) 264-4644
- NPI assigned
- Mar 22, 2017
- Last updated
- May 10, 2023
- Sex
- Male
- 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 | |||
| Gastroenterology Physician | 207RG0100X | ME161157 | FL | Primary |
Addresses
Primary practice location
805 Wells Rd
Orange Park, FL 32073-2301
Mailing address
4800 Belfort Rd
Jacksonville, FL 32256-6004
Phone (904) 398-3385
Other names 1
- Kerolos Abadeer Sedki Senada
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- H2 Rehabilitation Services of Florida LLC
Practice addresses (Care Compare)
805 Wells Rd
Orange Park, FL 32073-2301
Phone (904) 264-9797
831 Santa Barbara Blvd
Suite 227
Cape Coral, FL 33991-2072
Phone (800) 699-9395
Hospital & facility affiliations
- Baptist Health Medical Center - Jacksonville
- Ascension St Vincent's Clay County
- Ascension St Vincent's Riverside
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.94 of 100
- Quality
- 69.69
- Promoting interoperability
- 89
- Improvement activities
- 40
- Cost
- 69.28
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 82 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 132 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Science, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME161157 | FL | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Borland Groover Clinic, PA | Gastroenterology | Current | Accepting new patients |
Locations
4800 Belfort Rd
Jacksonville, FL 32256
Phone (904) 307-2084
836 Prudential Dr
Ste 801
Jacksonville, FL 32207
Phone (904) 288-0433
805 Wells Rd
Orange Park, FL 32073
Phone (904) 264-9797
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- kerolos.abadeer.p1@direct.bgclinic.nextgenshare.com
Organizations & group practices 1
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.
-
- Gastroenterology Physician
- Jacksonville, FL
- NPI 1881644912
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Medical Center
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
-
dba Ascension St. Vincent's Riverside
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1134117575
-
dba Ascension St. Vincent's Clay County
- General Acute Care Hospital
- Middleburg, FL
- NPI 1457690471
-
dba Ascension St Vincent's Riverside
- Clinical Medical Laboratory
- Jacksonville, FL
- NPI 1669556072
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683676800000",
"number": "1376074286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 BELFORT RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322566004",
"telephone_number": "904-398-3385",
"fax_number": "904-265-4807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 WELLS RD",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320732301",
"telephone_number": "042-649-7979",
"fax_number": "904-264-4644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABADEER",
"first_name": "KEROLOS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-22",
"last_updated": "2023-05-10",
"certification_date": "2023-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "ME161157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KEROLOS",
"last_name": "ABADEER SEDKI SENADA",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Orange Park, FL
- A1 Imaging II of Orange Park LLC (OMI of Orange Park)
- A1Imaging of Orange Park LLC (A1 Imaging of Orange Park)
- Aaa Marinelli Home Health Agency, Inc D.B.a. Home Instead Senior Care
- Aabac Taxi Inc
- ABA Therapy Titan, LLC
- Kerolos Abadeer, DO
- April Abarca
- Anthony Abate, PA-C
- Judith Abbey
- Abcn Pain Management LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.