Individual provider Active NPI

Murrad Abdelkarim, M.D.

  • Interventional Cardiology Physician
  • Torrance, CA
National Provider Identifier
1073706495
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
A97044 Issued in CA
Practice address
3475 Torrance Blvd Ste a
Torrance, CA 90503-5800
Phone
(310) 370-3568
Fax
(310) 540-0676
NPI assigned
Aug 20, 2007
Last updated
Jun 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A97044 CA
Interventional Cardiology Physician 207RI0011X 61063 WI
Interventional Cardiology Physician 207RI0011X A97044 CA Primary

Addresses

Primary practice location

3475 Torrance Blvd Ste a
Torrance, CA 90503-5800

Mailing address

3475 Torrance Blvd Ste a
Torrance, CA 90503-5800
Phone (310) 370-3568

Other identifiers 2

IdentifierTypeStateIssuer
M050376OtherCAGROUP
DA6447OtherCARRM

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mabdelkarim677091@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20080929000493 CA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4486721768 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Medical InstituteGroup PAC ID 5991609737, 303 clinicians
Southern California Hospitalist Network Medical Group IncGroup PAC ID 8921990110, 76 clinicians

Practice addresses (Care Compare)

5215 Torrance Blvd
Suite 120
Torrance, CA 90503-4009
Phone (310) 370-3568

625 The City Dr S
Suite 320
Orange, CA 92868-4978
Phone (714) 202-2330

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting25
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61063WIMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Institute Internal Medicine CurrentSince Feb 28, 2024 Accepting new patients
Providence Medical Institute Internal Medicine CurrentSince Feb 28, 2024 Accepting new patients
Southern California Hospitalist Network Medical Group Inc Internal Medicine CurrentSince May 27, 2017 Accepting new patients
Prohealth Oconomowoc Memorial Hospital, Inc. Past Accepting new patients
Prohealth Waukesha Memorial Hospital, Inc. Past Accepting new patients
Providence Health System Southern California Past Accepting new patients

Locations

21501 Avalon Blvd
Ste 100
Carson, CA 90745
Phone (310) 835-6627

625 The City Dr S
Ste 320
Orange, CA 92868
Phone (714) 202-2330

1294 W 6th St
Ste 103
San Pedro, CA 90731
Phone (310) 831-8449

21311 Madrona Ave
Ste 101
Torrance, CA 90503
Phone (310) 792-4012

3475 Torrance Blvd
Ste A
Torrance, CA 90503
Phone (310) 370-3568

4101 Torrance Blvd
Torrance, CA 90503
Phone (310) 540-7676

5215 Torrance Blvd
Ste 120
Torrance, CA 90503
Phone (310) 370-3568

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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

Hospital & facility affiliations 4

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": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1073706495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3475 TORRANCE BLVD STE A",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035800",
            "telephone_number": "310-370-3568",
            "fax_number": "310-540-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 TORRANCE BLVD STE A",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035800",
            "telephone_number": "310-370-3568",
            "fax_number": "310-540-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDELKARIM",
        "first_name": "MURRAD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-20",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A97044",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "WI",
            "license": "61063",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A97044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP",
            "identifier": "M050376",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRM",
            "identifier": "DA6447",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mabdelkarim677091@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "3475 Torrance Blvd",
            "city": "Torrance",
            "state": "CA",
            "country_code": "US",
            "postal_code": "905035800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.