ABDALAGANI A. BAHER (M.D.) – Nephrology Physician, NPI 1740206937
Nephrology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
796 NEPHROLOGY in FL
Provider Addresses for ABDALAGANI A. BAHER (M.D.)
60 Memorial Medical Pkwy
Palm Coast, FL 321645980
Phone: (386) 586-4460
Fax: (386) 586-4461
Type: Location
1 Adventhealth Way
Palm Coast, FL 321374702
Phone: (386) 586-4460
Fax: (386) 586-4461
Type: Location
PO BOX 44008
JACKSONVILLE, FL 322314008
Phone: (904) 244-5964
Type: Mailing
UF Health Jacksonville, 655, West 8th Street, Jacksonville, Duval County, Florida, 32209, United States
JACKSONVILLE, FL 322096511
Phone: (904) 244-0411
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2017-08-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20070301000186 | I | Internal Medicine | IN | TBD |
| I20170809001787 | I | Nephrology | FL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32164)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Family Practice | FL | |
| - | IN | |
| Nurse Practitioner | FL | |
| Internal Medicine | AL | |
| Family Practice | FL | |
| Internal Medicine | NY | |
| Family Practice | TX | |
| Internal Medicine | FL |
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