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DR. MERRIT FAWZI GADALLAH MD
NPI 1871531319
Internal Medicine - Nephrology in Naples, FL

Active since June 04, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1213 PIPER BLVD, SUITE 101, NAPLES, FL 34110(239) 254-0099(239) 254-1908 Get Directions Write a Review

NPPES record last updated: May 6, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Merrit Fawzi Gadallah Md NPPES

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

DR. MERRIT FAWZI GADALLAH MD (NPI 1871531319) is an individual nephrology provider in Naples, Florida, licensed in Florida (ME72275) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Lee Memorial Hospital, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1871531319
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. MERRIT FAWZI GADALLAHCredential: MD
Location Address1213 PIPER BLVD, SUITE 101Naples, FL 34110-1393
Mailing Address1213 Piper Blvd, Suite 101Naples, FL 34110-1393 · (239) 254-0099 · Fax (239) 254-1908
Phone(239) 254-0099
Fax(239) 254-1908
Sole ProprietorNo
Medical School CMSOtherGraduated 1980
Enumeration DateJune 4, 2006
Last NPPES UpdateMay 6, 2008
✔ NPI 1871531319 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 FL · ME72275
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.
1213 PIPER BLVD, Naples, FL 34110
Open in Google Maps ↗

Other Identifiers 3

Medicare PIN28966V
Medicare UPINA88537
Medicaid250006000FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

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. Merrit Fawzi Gadallah 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 ID5799681987
PECOS Enrollment IDI20031222000045
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 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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
340 services237 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
226 services129 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
226 services147 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.
121 services33 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
77 services77 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
39 services39 patients

Hospital Affiliations CMS Care Compare 3

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

Lee Memorial Hospital

Acute Care Hospitals · Fort Myers, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100012
Location2776 Cleveland AveFort Myers, FL 33901 · Lee County
Emergency services Birthing friendly

Naples Community Hospital

Acute Care Hospitals · Naples, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100018
Location350 7th St NNaples, FL 34102 · Collier County
Emergency services Birthing friendly

Physicians Regional Medical Center - Pine Ridge

Acute Care Hospitals · Naples, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100286
Location6101 Pine Ridge RoadNaples, FL 34119 · Collier County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34110 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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers20 claims2,340 services$0.35 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
2 suppliers16 claims16 services$19.01 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

PLATINUM WELLNESS LLC
Internal Medicine (Nephrology)
1213 PIPER BLVD
NAPLES, FL 34110
Collier County (239) 254-0099
KRYSTINE SWANNICK-KONOPCZYNSKI MD
Internal Medicine (Nephrology)
1213 PIPER BLVD, SUITE 101
NAPLES, FL 34110
Collier County (239) 254-0099
NEPHROLOGY AND HYPERTENSION SPECIALISTS INC
Internal Medicine (Nephrology)
1213 PIPER BLVD, SUITE 101
NAPLES, FL 34110
Collier County (239) 254-0099
DR. CAROLYN TEAL VENABLE MD
Internal Medicine (Nephrology)
1213 PIPER BLVD, SUITE 101
NAPLES, FL 34110
Collier County (239) 254-0099

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 Merrit Gadallah's NPI number?

The NPI number for Merrit Gadallah is 1871531319. It was assigned to this individual provider in the NPPES registry on June 4, 2006.

Where is Merrit Gadallah located?

Merrit Gadallah practices at 1213 Piper Blvd Suite 101, Naples, FL 34110. The listed phone number is (239) 254-0099.

What is Merrit Gadallah's specialty?

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

Is Merrit Gadallah enrolled in Medicare?

Yes. Merrit Gadallah 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.

What insurance does Merrit Gadallah accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Merrit Gadallah 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.

Is Merrit Gadallah affiliated with any hospitals?

According to CMS data, Merrit Gadallah is affiliated with Lee Memorial Hospital, Naples Community Hospital and Physicians Regional Medical Center - Pine Ridge.

When was this NPI record last updated?

The NPPES record for Merrit Gadallah was last updated on May 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.