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KHALED ABDEL-KADER M.D.
NPI 1164693008
Internal Medicine - Nephrology in Freehold, NJ

Active since March 19, 2008PECOS Enrolled
97.12/100
CMS Quality Rating
55 SCHANCK RD # B1, FREEHOLD, NJ 07728(732) 988-8228 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 5, 2024, Oct 19, 2020, Sep 18, 2020 (3 updates tracked since 2020).

About Khaled Abdel-kader M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KHALED ABDEL-KADER M.D. (NPI 1164693008) is an individual nephrology provider in Freehold, New Jersey, licensed in New Jersey (25MA12144700) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164693008
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameKHALED ABDEL-KADERCredential: M.D.
Location Address55 SCHANCK RD # B1Freehold, NJ 07728-2964
Mailing Address55 Schanck Rd # B1Freehold, NJ 07728-2964 · (732) 988-8228
Phone(732) 988-8228
Sole ProprietorNo
Enumeration DateMarch 19, 2008
Last NPPES UpdateSeptember 5, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2024
✔ NPI 1164693008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in NJ · 25MA12144700
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
55 SCHANCK RD # B1, Freehold, NJ 07728
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Khaled Abdel-kader M.d. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Khaled Abdel-kader reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kidney Care Centers
13 mi
Nephrology
6 INDUSTRIAL WAY W STE B
Eatontown, NJ 07724
  • Reassigned Medicare billing, New Jersey enrollment
  • 25 clinicians in this Medicare group
NPI 1689302424 (732) 460-1200
Ea Health - New Jersey LLC
14 mi
Emergency Medicine
1 RIVERVIEW PLZ
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 95 clinicians in this Medicare group
NPI 1063186641 (732) 741-2700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
1,159 services327 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
133 services125 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
121 services67 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
113 services108 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
89 services20 patients
Dialysis procedure including 1 evaluation 90945
Dialysis is a treatment that filters and purifies the blood when your kidneys can't do their job. The procedure involves circulating your blood through a machine that removes waste products. An evaluation is done beforehand to assess your health and determine the best approach for your treatment.
48 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07728 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.64
Promoting Interoperability100
Improvement Activities40

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 Khaled Abdel-kader's NPI number?

The NPI number for Khaled Abdel-kader is 1164693008. It was assigned to this individual provider in the NPPES registry on March 19, 2008.

Where is Khaled Abdel-kader located?

Khaled Abdel-kader practices at 55 Schanck Rd # B1, Freehold, NJ 07728. The listed phone number is (732) 988-8228.

What is Khaled Abdel-kader's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Khaled Abdel-kader enrolled in Medicare?

Yes. Khaled Abdel-kader is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Khaled Abdel-kader's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Khaled Abdel-kader reassigns Medicare benefits to 2 organizations: Kidney Care Centers (Eatontown, NJ) and Ea Health - New Jersey LLC (Red Bank, NJ). Each 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 Khaled Abdel-kader's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Khaled Abdel-kader accept?

Health plans from Oscar Health list Khaled Abdel-kader 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 Khaled Abdel-kader was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.