Merrit Fawzi Gadallah, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

ME72275 Issued in FL

Practice address

1213 Piper Blvd
Suite 101
Naples, FL 34110-1393

Phone

(239) 254-0099

Fax

(239) 254-1908

NPI assigned

Jun 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

NephrologyAlso: Internal Medicine

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nephrology and Hypertension Specialists IncGroup PAC ID 6204732480, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ara - Naples Dialysis Center LLC Dialysis facility, Naples, FL, CCN 102844
• Ara Naples South Dialysis Center LLC Dialysis facility, Naples, FL, CCN 102899
• Trilogy Home Healthcare Home health agency, Estero, FL, CCN 108173
• Naples Community Hospital Hospital, Naples, FL, CCN 100018
• Physicians Regional Medical Center - Pine Ridge Hospital, Naples, FL, CCN 100286
• Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Nephrology and Hypertension Specialists Inc

  • Nephrology Physician
  • Naples, FL
  • NPI 1619914058
  Medicare reassignment Care Compare group NPD Authorized official
• Naples Renal Care LLC

  • Nephrology Physician
  • Naples, FL
  • NPI 1699422600
  NPD

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

• Bridges Home Health Inc.

  • Home Health Agency
  • Fort Myers, FL
  • NPI 1376517862
  Care Compare affiliation
• Lee Health System Inc

  • General Acute Care Hospital
  • Fort Myers, FL
  • NPI 1427806025
  Care Compare affiliation
• Naples Community Hospital Inc

  • General Acute Care Hospital
  • Naples, FL
  • NPI 1720085137
  Care Compare affiliation
• Naples Hma LLC

  • General Acute Care Hospital
  • Naples, FL
  • NPI 1215003348
  Care Compare affiliation
• Naples Hma LLC

  • General Acute Care Hospital
  • Naples, FL
  • NPI 1316992134
  Care Compare affiliation

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1871531319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 PIPER BLVD",
            "address_2": "SUITE 101",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101393",
            "telephone_number": "239-254-0099",
            "fax_number": "239-254-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 PIPER BLVD",
            "address_2": "SUITE 101",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101393",
            "telephone_number": "239-254-0099",
            "fax_number": "239-254-1908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADALLAH",
        "first_name": "MERRIT",
        "middle_name": "FAWZI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME72275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250006000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teresa Mary Furnari, PTA
• G B Fisher III DO PA
• Crystal Gabbard
• Olivia Gabbidon, PHARM.D
• Gabriel T. Rizzi MD
• Nakajsha Gadsden
• Carol Renaud Gaffney, PH.D
• Deborah L Gaffoli, R.PH
• Krystal Gage, DMD
• Opal Natalie Gagliardo, PHARMD.

• Nephrology Physician in Naples, FL
• Providers in Naples, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.