DOUGLAS J KADERABEK (M.D.) – Surgery Physician, NPI 1821097338

DOUGLAS J KADERABEK (M.D.) is a healthcare provider. based in Ellicott city, Maryland. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. 01039176A (IN). The NPI Number for DOUGLAS J KADERABEK (M.D.) is 1821097338

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
DOUGLAS J KADERABEK (M.D.)
NPI
1821097338
Phone
(833) 220-2685
Address
11541 E WINCHESTER LN
Enumeration Date
18 July 2005
Last Update Date
3 August 2018

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3173387510
Graduation Year
1991 (35 years ago)
PAC ID
7810948536
Group Practice PAC ID
9638072184
Professional Enrollment ID
I20101021001330
Address ID
IN462601972IN8414XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

729 GENERAL SURGERY in IN

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Provider Addresses for DOUGLAS J KADERABEK (M.D.)

  • 11541 E WINCHESTER LN

    ELLICOTT CITY, MD 210422040

    Phone: (833) 220-2685

    Fax: (317) 947-0839

    Type: Mailing

  • 8240, Naab Road, Indianapolis, Indiana, 46260, United States

    SUITE 100

    INDIANAPOLIS, IN 46260

    Phone: (317) 338-7450

    Fax: (317) 338-7457

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $401.

Total Amount is formed as General ($401) + Research ($0) + Ownership ($0) = $401.

Last reported payment date: 2024-10-31 • Largest payer in this snapshot: Teleflex LLC ($137).

Total Amount

$401

General + Research + Ownership

Payments

11

Total payment records

General Amount

$401

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-31

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2010-10-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101021001330IGeneral SurgeryINTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes187111$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes6951$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3535$0
99203New patient office or other outpatient visit, 30-44 minutes2727$0
99213Established patient office or other outpatient visit, 20-29 minutes1311$0
View full utilization report →

Insurance plans in this area (ZIP 21042)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9638072184View full group profile
NameSpecialtyState
-IN
-IN
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeIN
-IN
O B S T E T R I C S/ G Y N E C O L O G YIN
Family Practice, Emergency MedicineIN
-IN
-IN
Hospitalist, Family Practice, Geriatric MedicineIN

Reviews

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Frequently asked questions

Is DOUGLAS J KADERABEK (M.D.) listed with a National Provider Identifier?
Yes — DOUGLAS J KADERABEK (M.D.) has NPI 1821097338 on file in the registry.
Would DOUGLAS J KADERABEK (M.D.) appear as active to a payer?
You can treat DOUGLAS J KADERABEK (M.D.) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is DOUGLAS J KADERABEK (M.D.)?
DOUGLAS J KADERABEK (M.D.) is associated with Surgery Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DOUGLAS J KADERABEK (M.D.) associated with Ellicott City?
Public fields place DOUGLAS J KADERABEK (M.D.) around Ellicott City, Maryland. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for DOUGLAS J KADERABEK (M.D.) is noted as July 18, 2005 where the registry provides it.

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