KEROLLOS KEROLLOS
NPI 1124759741
Hospitalist in Cape Coral, FL

Active since June 23, 2022PECOS Enrolled
636 DEL PRADO BLVD S, CAPE CORAL, FL 33990(239) 424-2000 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 14, 2026, Aug 23, 2022 (2 updates tracked since 2022).

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

NPI1124759741
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameKEROLLOS KEROLLOS
Location Address636 DEL PRADO BLVD SCape Coral, FL 33990-2695
Mailing Address636 Del Prado BlvdCape Coral, FL 33990-2695 · (708) 202-5064
Sole ProprietorYes
Enumeration DateJune 23, 2022
Last NPPES UpdateMay 14, 20262 updates tracked since enumeration
NPPES CertifiedMay 14, 2026
NPI 1124759741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in OH · 35.155184
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 35.155184 (OH), 36859 (FL)
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License 125079466 (IL)
636 DEL PRADO BLVD S, Cape Coral, FL 33990

Secondary Practice Location 1

Location 1401 Matthew StMarietta, OH 45750-1635 · Phone (740) 374-7700 · Fax (740) 374-7701

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kerollos Kerollos is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Counselor (Mental Health)
636 DEL PRADO BLVD S
CAPE CORAL, FL 33990
Student in an Organized Health Care Education/Training Program
636 DEL PRADO BLVD S
CAPE CORAL, FL 33990
Student in an Organized Health Care Education/Training Program
636 DEL PRADO BLVD S, LEE HEALTH-CAPE CORAL HOSPITAL
CAPE CORAL, FL 33990
Emergency Medicine
636 DEL PRADO BLVD S
CAPE CORAL, FL 33990
Nurse Anesthetist, Certified Registered
636 DEL PRADO BLVD S
CAPE CORAL, FL 33990
Student in an Organized Health Care Education/Training Program
636 DEL PRADO BLVD S
CAPE CORAL, FL 33990
Physician Assistant
636 DEL PRADO BLVD S
CAPE CORAL, FL 33990
Physician Assistant
636 DEL PRADO BLVD S
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.

When was this NPI record last updated?

The NPPES record for Kerollos Kerollos was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.