Abdul Kader Ezeldin, MD

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

ME151263 Issued in FL

Practice address

2400 N Orange Blossom TRL Ste 204
Kissimmee, FL 34744-2307

Phone

(407) 894-4474

NPI assigned

May 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR, FL, WI3 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 3

Specialty

Interventional Cardiology

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• South Arkansas Regional Hospital LLC Hospital, El Dorado, AR, CCN 040088
• Arkansas Heart Hospital, LLC Hospital, Little Rock, AR, CCN 040134
• Baptist Health Medical Center-Little Rock Hospital, Little Rock, AR, CCN 040114
• University of Arkansas Medical Sciences Hospital, Little Rock, AR, CCN 040016
• Ouachita County Medical Center Hospital, Camden, AR, CCN 040050

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (13 of 15)

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25552/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/16686/brand/1/csg/1/fhir/r4

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

• Arkansas Cardiology Associates

  • Cardiovascular Disease Physician
  • Little Rock, AR
  • NPI 1700746443
  Medicare reassignment NPD Authorized official
• Florida Hospital Medical Group Inc

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1225034234
  Medicare reassignment NPD
• Millennium Cardiovascular Associates Inc

  • Interventional Cardiology Physician
  • Venice, FL
  • NPI 1013633072

  Cardiovascular Disease

  Medicare reassignment NPD
• Panel of Electrocardiology of Doctors Hospital

  • Cardiovascular Disease Physician
  • Sarasota, FL
  • NPI 1639129653
  Medicare reassignment NPD
• Santa Rosa Hma Physician Management, LLC

  • Family Medicine Physician
  • Milton, FL
  • NPI 1447365366
  Medicare reassignment NPD
• Northwest Physicians LLC

  • Obstetrics Physician
  • Springdale, AR
  • NPI 1194768721
  Medicare reassignment NPD
• Saline Clinics LLC

  • Gastroenterology Physician
  • Benton, AR
  • NPI 1447609367
  Medicare reassignment NPD
• Third Coast Vascular SC

  • Vascular & Interventional Radiology Physician
  • Sheboygan, WI
  • NPI 1356085104
  Medicare reassignment NPD
• Florida Hospital Medical Group Inc

  • Prosthetic/Orthotic Supplier
  • Minneola, FL
  • NPI 1285591545
  NPD
• Azh Vascular Center Mke SC

  • Vascular & Interventional Radiology Physician
  • Milwaukee, WI
  • NPI 1508312570
  NPD
• Northwest Physicians LLC

  • Durable Medical Equipment & Medical Supplies
  • Springdale, AR
  • NPI 1205137536
  NPD
• Cardiology Consultants of Texas

  • Cardiovascular Disease Physician
  • Dallas, TX
  • NPI 1083886527
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Arkansas Heart Hospital, LLC

  • Cardiovascular Disease Physician
  • Little Rock, AR
  • NPI 1558653212

  Hospital

  Care Compare affiliation
• Arkansas Heart Hospital, LLC

  • General Acute Care Hospital
  • Little Rock, AR
  • NPI 1790775229
  Care Compare affiliation
• Baptist Health

  • General Acute Care Hospital
  • Little Rock, AR
  • NPI 1043240682
  Care Compare affiliation
• South Arkansas Regional Hospital LLC

  • General Acute Care Hospital
  • El Dorado, AR
  • NPI 1780375592
  Care Compare affiliation
• University of Arkansas for Medical Sciences

  • General Acute Care Hospital
  • Little Rock, AR
  • NPI 1477549756
  Care Compare affiliation

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1639129133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 N ORANGE BLOSSOM TRL STE 204",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347442307",
            "telephone_number": "407-894-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 N ORANGE BLOSSOM TRL STE 204",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347442307",
            "telephone_number": "407-894-4474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Benton",
            "state": "AR",
            "postal_code": "720153353",
            "country_code": "US",
            "telephone_number": "501-776-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1801 W 40th Ave Ste 5C",
            "address_purpose": "LOCATION",
            "city": "Pine Bluff",
            "state": "AR",
            "postal_code": "716036962",
            "country_code": "US",
            "telephone_number": "870-534-1726",
            "fax_number": "870-534-0728",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 Venetia Bay Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "FL",
            "postal_code": "342858046",
            "country_code": "US",
            "telephone_number": "941-497-5511",
            "fax_number": "941-492-2221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EZELDIN",
        "first_name": "ABDUL",
        "middle_name": "KADER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AR",
            "license": "E3462",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME151263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148801001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eye Care Optical, LLC
• Eye Care Specialists of Flordia LLC
• Eye Deal Optical LLC
• Eye Doctors Optical Outlets PA
• Eye Express, Inc
• Yasmine Ezzair
• F. Christopher Manlio, DO, PA
• Ashlee Fabian
• Fabiola Douglas DDS, LLC
• Omar Atir Fadhli, M.D.

• Interventional Cardiology Physician in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Interventional Cardiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.

Verify at the official NPI Registry.