Individual provider Active NPI

Philip J. Karam, M.D.

  • Family Medicine Physician
  • Liberty, NC
National Provider Identifier
1104871383
Registry record updated Aug 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
24774 Issued in NC
Practice address
10046 Old Liberty Road
Liberty, NC 27298
Phone
(336) 622-6001
Fax
(336) 622-6001
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 24774 NC Primary

Addresses

Primary practice location

10046 Old Liberty Road
Liberty, NC 27298

Mailing address

10046 Old Liberty Road
Liberty, NC 27298
Phone (336) 622-6001

Other identifiers 2

IdentifierTypeStateIssuer
890190XMedicaidNC
8947810MedicaidNC

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
I20140324001336 NC Practitioner - Family Practice 7618915448 Practice locations: Liberty, NC

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24774NCMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377216000000",
    "number": "1104871383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10046 OLD LIBERTY ROAD",
            "city": "LIBERTY",
            "state": "NC",
            "postal_code": "27298",
            "telephone_number": "336-622-6001",
            "fax_number": "336-622-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10046 OLD LIBERTY ROAD",
            "city": "LIBERTY",
            "state": "NC",
            "postal_code": "27298",
            "telephone_number": "336-622-6001",
            "fax_number": "336-622-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARAM",
        "first_name": "PHILIP",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2013-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "24774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890190X",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8947810",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty, NC

Sources for this page

Verify at the official NPI Registry.