DR. HISHAM S. EL-KADI MD
NPI 1184698466
Internal Medicine - Rheumatology in Freehold, NJ

Active since February 14, 2006PECOS EnrolledAccepts Medicare Assignment
94.12/100
CMS Quality Rating
4247 ROUTE 9 N, BUILDING 1, FREEHOLD, NJ 07728(732) 780-7650(732) 780-8817 Get Directions Write a Review

NPPES record last updated: May 28, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Hisham S. El-kadi Md NPPES

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

DR. HISHAM S. EL-KADI MD (NPI 1184698466) is an individual rheumatology provider in Freehold, New Jersey, licensed in New Jersey (MA056265) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Ocean Medical Center, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1184698466
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. HISHAM S. EL-KADICredential: MD
Location Address4247 ROUTE 9 N, BUILDING 1Freehold, NJ 07728-8307
Mailing Address4247 Route 9 N, Building 1Freehold, NJ 07728-8307 · (732) 780-7650 · Fax (732) 780-8817
Fax(732) 780-8817
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateFebruary 14, 2006
Last NPPES UpdateMay 28, 2014
NPI 1184698466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in NJ · MA056265
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
4247 ROUTE 9 N, Freehold, NJ 07728

Other Identifiers 2

Medicare UPING06497NJ
Medicare ID-Type Unspecified002128NJ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Hisham S. El-kadi Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335045111
PECOS Enrollment IDI20031211000520
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.

Areas of Expertise CMS Part B claims 38

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.

Injection, tocilizumab, 1 mg J3262
Tocilizumab is a medication administered via injection. It's used to treat certain conditions like rheumatoid arthritis by reducing inflammation in the body. It works by blocking a substance in the body that leads to inflammation.
89,440 services23 patients
Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0717
Certolizumab pegol is a medication injected under a doctor's supervision. It's used to treat certain inflammatory conditions like rheumatoid arthritis. The injection helps reduce symptoms like pain and swelling. Note that this drug isn't for self-administration.
82,801 services32 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
25,560 services290 patients
Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0129
Abatacept is a medication administered via injection under a doctor's supervision. It's used to treat conditions like rheumatoid arthritis by moderating the immune system. This code applies when the doctor administers the drug, not for self-administration.
24,357 services43 patients
Injection, golimumab, 1 mg, for intravenous use J1602
Golimumab is a medication given through an IV (a small tube in your vein). It helps to reduce inflammation and pain by blocking a protein in your body that causes inflammation. It's often used to treat conditions like rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis.
20,449 services29 patients
Injection, acetaminophen, not otherwise specified,10 mg J0131
Acetaminophen injection is a medication given to manage pain or reduce fever. It's administered directly into a vein, ensuring quick relief. The 10 mg dosage refers to the amount of active ingredient in the injection. It's a safe, effective treatment option.
18,500 services79 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ocean Medical Center

Acute Care Hospitals · Brick, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number310052
Location425 Jack Martin BlvdBrick, NJ 08724 · Ocean County
Emergency services Birthing friendly

Centrastate Medical Center

Acute Care Hospitals · Freehold, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310111
Location901 West Main StreetFreehold, NJ 07728 · Monmouth County
Emergency services Birthing friendly

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.

94.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.3
Improvement Activities40
Cost100

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
4247 ROUTE 9 N, BUILDING 1
FREEHOLD, NJ 07728
Physician Assistant (Medical)
4247 ROUTE 9 N
FREEHOLD, NJ 07728
Nurse Practitioner (Family)
4247 ROUTE 9 N, FREEHOLD OFFICE PLAZA BLDG #1
FREEHOLD, NJ 07728
Internal Medicine (Rheumatology)
4247 ROUTE 9 N, BUILDING 1
FREEHOLD, NJ 07728

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 Hisham El-kadi's NPI number?

The NPI number for Hisham El-kadi is 1184698466. It was assigned to this individual provider in the NPPES registry on February 14, 2006.

Where is Hisham El-kadi located?

Hisham El-kadi practices at 4247 Route 9 N Building 1, Freehold, NJ 07728. The listed phone number is (732) 780-7650.

What is Hisham El-kadi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Hisham El-kadi enrolled in Medicare?

Yes. Hisham El-kadi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Hisham El-kadi affiliated with any hospitals?

According to CMS data, Hisham El-kadi is affiliated with Ocean Medical Center and Centrastate Medical Center.

When was this NPI record last updated?

The NPPES record for Hisham El-kadi was last updated on May 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.