DR. MARK BASHA KEROLES (MD) – Clinical Neurophysiology Physician, NPI 1548898554
Clinical Neurophysiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
214 NEUROLOGY in OK
Provider Addresses for DR. MARK BASHA KEROLES (MD)
2915 W BITTERS RD STE 201
SAN ANTONIO, TX 782482007
Phone:
Type: Mailing
13401 Railway Dr
Oklahoma City, OK 731142272
Phone: (484) 351-8459
Type: Location
400 N Ashley Dr
Tampa, FL 336024300
Phone: (484) 351-8459
Type: Location
30051 GRANDPOINT LN
RANCHO PALOS VERDES, CA 902756425
Phone: (484) 351-8459
Type: Location
800 SPRUCE ST
PHILADELPHIA, PA 191076192
Phone: (215) 829-5410
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2025-06-30
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250630003814 | I | Neurology | CA | 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 78248)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | TX | |
| Interventional Pain Management, Physical Medicine And Rehabilitation | OK | |
| Neurology, Internal Medicine | NJ | |
| Pain Management, Physical Medicine And Rehabilitation | PA | |
| N E U R O L O G Y | NJ | |
| Physical Medicine And Rehabilitation | TX | |
| N E U R O L O G Y | OK |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.