KATERINA ELENI SKEDROS – Emergency Medicine Physician, NPI 1043890239

KATERINA ELENI SKEDROS is a healthcare provider. based in Mullica hill, New Jersey. specializing in EMERGENCY MEDICINE. They hold a License No. 25MB12670100 (NJ). The NPI Number for KATERINA ELENI SKEDROS is 1043890239

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
KATERINA ELENI SKEDROS
NPI
1043890239
Phone
(856) 508-1000
Address
700 MULLICA HILL RD
Enumeration Date
12 April 2021
Last Update Date
13 June 2025

Doctor Profile

Medical School Name
ROCKY VISTA UNIVERSITY COLLEGE OF OSTEOPATHIC MED
Secondary Phone
8568450100
Graduation Year
2021 (5 years ago)
PAC ID
2668981325
Group Practice PAC ID
2567534100
Professional Enrollment ID
I20250603004261
Address ID
NJ080624413MU700XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Digital endpointsOther names

1,703 EMERGENCY MEDICINE in NJ

Provider Addresses for KATERINA ELENI SKEDROS

  • 700 MULLICA HILL RD

    MULLICA HILL, NJ 080624413

    Phone: (856) 508-1000

    Mailing address matches the actual address.

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: 2025-06-03

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
I20250603004261IEmergency MedicineNJTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 08062)

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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: 2567534100View full group profile
NameSpecialtyState
Emergency MedicineFL
Emergency MedicineNJ
Emergency MedicineDE
Emergency MedicinePA
Emergency MedicineNJ
Emergency MedicineIN
Emergency MedicineCT
Emergency MedicineNJ
Emergency MedicineNJ
Emergency MedicineNJ

Reviews

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Frequently asked questions

Does KATERINA ELENI SKEDROS share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KATERINA ELENI SKEDROS uses 1043890239.
Is KATERINA ELENI SKEDROS listed as active for patients and plans?
The listing shows KATERINA ELENI SKEDROS as active in the NPI system.
What taxonomy line describes KATERINA ELENI SKEDROS?
For research purposes, treat KATERINA ELENI SKEDROS as Emergency Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is KATERINA ELENI SKEDROS based?
KATERINA ELENI SKEDROS is tied to Mullica Hill, New Jersey in the data we show; additional addresses may exist on the full record.
Why does KATERINA ELENI SKEDROS have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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