KEROLLOS KEROLLOS
NPI 1124759741
Hospitalist in Cape Coral, FL
About Kerollos Kerollos NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEROLLOS KEROLLOS (NPI 1124759741) is an individual hospitalist provider in Cape Coral, Florida, licensed in Ohio (35.155184) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Marietta.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kerollos Kerollos is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kerollos Kerollos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Marietta, OH 45750
- Reassigned Medicare billing, Ohio enrollment
- 411 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33990 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CAPE CORAL, FL 33990
CAPE CORAL, FL 33990
CAPE CORAL, FL 33990
CAPE CORAL, FL 33990
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kerollos Kerollos's NPI number?
The NPI number for Kerollos Kerollos is 1124759741. It was assigned to this individual provider in the NPPES registry on June 23, 2022.
Where is Kerollos Kerollos located?
Kerollos Kerollos practices at 636 Del Prado Blvd S, Cape Coral, FL 33990. The listed phone number is (239) 424-2000.
What is Kerollos Kerollos's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Kerollos Kerollos enrolled in Medicare?
Yes. Kerollos Kerollos is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kerollos Kerollos's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kerollos Kerollos reassigns Medicare benefits to Marietta Memorial Hospital (Marietta, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kerollos Kerollos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kerollos Kerollos accept?
Health plans from CareSource list Kerollos Kerollos as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kerollos Kerollos was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kerollos Kerollos · NPI 1124759741
Hospitalist physician in Cape Coral, Florida. Individual provider, active in the CMS NPPES registry since June 23, 2022.
## Identity
- **NPI:** 1124759741 (Entity type: Individual)
- **Enumerated:** June 23, 2022
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 35.155184 (Ohio)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 636 DEL PRADO BLVD S, Cape Coral, FL 33990-2695
- **Phone:** (239) 424-2000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Marietta Memorial Hospital (NPI 1215936927, Marietta, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1124759741) · Data from the CMS NPPES public registry.