ABDUL KADER EZELDIN (MD) – Interventional Cardiology Physician, NPI 1639129133
Interventional Cardiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
84 INTERVENTIONAL CARDIOLOGY in AR
Provider Addresses for ABDUL KADER EZELDIN (MD)
West 40th Avenue, Pine Bluff, Jefferson County, Arkansas, 71603, United States
PINE BLUFF, AR 716036962
Phone: (870) 534-1726
Fax: (870) 534-0728
Type: Mailing
1 Medical Park Dr
Benton, AR 720153353
Phone: (501) 776-6000
Type: Location
1801 W 40th Ave Ste 5C
Pine Bluff, AR 716036962
Phone: (870) 534-1726
Fax: (870) 534-0728
Type: Location
901 Venetia Bay Blvd Ste 200
Venice, FL 342858046
Phone: (941) 497-5511
Fax: (941) 492-2221
Type: Location
2400 N ORANGE BLOSSOM TRL STE 204
KISSIMMEE, FL 347442307
Phone: (407) 894-4474
Type: Mailing
Saline Memorial Hospital, 1, Medical Park Drive, Benton, Saline County, Arkansas, 72015, United States
BENTON, AR 720153353
Phone: (501) 776-6000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 106 Open Payments records for all available years, with a total value of $5,725.
Total Amount is formed as General ($5,725) + Research ($0) + Ownership ($0) = $5,725.
Last reported payment date: 2024-09-29 • Largest payer in this snapshot: Medtronic, Inc. ($2,336).
Total Amount
$5,725
General + Research + Ownership
Payments
106
Total payment records
General Amount
$5,725
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $2,336 |
| Boston Scientific Corporation | $648 |
| Abbott Laboratories | $363 |
| Penumbra, Inc. | $272 |
| ShockWave Medical, Inc | $198 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-08-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070705000255 | I | Interventional Cardiology | AR | TBD |
| I20211028001891 | I | Cardiac Surgery | FL | TBD |
| I20250811003399 | I | Interventional Cardiology | WI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 837 | 325 | $0 |
| J2785 | Injection, regadenoson, 0.1 mg | 594 | 148 | $0 |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 398 | 197 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 353 | 339 | $0 |
| 93015 | Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician | 202 | 199 | $0 |
Insurance plans in this area (ZIP 71603)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | AR | 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 22 | 18 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | AR | 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 23 | 23 |
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