Individual provider Active NPI

Abdul Karim Garuba, MD

  • Internal Medicine Physician
  • Matthews, NC
National Provider Identifier
1063483113
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
200001378 Issued in NC
Practice address
9705 Northeast Pkwy Ste 400
Matthews, NC 28105-9704
Phone
(704) 844-8971
Fax
(704) 844-8972
NPI assigned
Jan 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 200001378 NC
Internal Medicine Physician 207R00000X 200001378 NC Primary

Addresses

Primary practice location

9705 Northeast Pkwy Ste 400
Matthews, NC 28105-9704

Mailing address

9705 Northeast Pkwy Ste 400
Matthews, NC 28105-9704
Phone (704) 844-8971

Other identifiers 1

IdentifierTypeStateIssuer
89132MMMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041210000823 NC Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 9032175583 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists)
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Polyclinic Medical Center IncGroup PAC ID 3971569328, 2 clinicians

Practice addresses (Care Compare)

9705 Northeast Pkwy
Suite 400
Matthews, NC 28105-9704
Phone (704) 844-8971

Hospital & facility affiliations

  • Novant Health Matthews Medical Center Hospital, Matthews, NC, CCN 340171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Polyclinic Medical Center, Inc. Critical Care Medicine CurrentSince Nov 4, 2002 Accepting new patients
Cruz-Lee-Llacer & Associates P a Critical Care Medicine Past Accepting new patients

Locations

3030 Senna Dr
Matthews, NC 28105
Phone (704) 246-7162

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GJIFDD/Endpoint/GJIFDD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1063483113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9705 NORTHEAST PKWY STE 400",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281059704",
            "telephone_number": "704-844-8971",
            "fax_number": "704-844-8972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9705 NORTHEAST PKWY STE 400",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281059704",
            "telephone_number": "704-844-8971",
            "fax_number": "704-844-8972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARUBA",
        "first_name": "ABDUL",
        "middle_name": "KARIM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NC",
            "license": "200001378",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200001378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89132MM",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

Verify at the official NPI Registry.