Individual provider Active NPI

Nabil H Karroum, M.D.

  • Psychiatry Physician
  • Minneapolis, MN
National Provider Identifier
1104985118
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
72930 Issued in MN
Practice address
2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone
(612) 672-6000
NPI assigned
Dec 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD472572 PA
Psychiatry Physician 2084P0800X 166479-1 NY
Psychiatry Physician 2084P0800X 25MA04760500 NJ
Psychiatry Physician 2084P0800X 72930 MN Primary

Addresses

Primary practice location

2450 Riverside Ave
Minneapolis, MN 55454-1450

Mailing address

10 Cyr CT
New City, NY 10956-5856

Other practice location 1

130 S Bryn Mawr Ave
Bryn Mawr, PA 19010-3121
Phone (484) 337-4286

Other practice location 2

1020 First Colonial Rd Ste A
Virginia Beach, VA 23454-3078
Phone (757) 395-1850

Other identifiers 1

IdentifierTypeStateIssuer
00998325MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, PA, VT, VA, MD6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20140508000676 NY Practitioner - Psychiatry 0749185973 Reassigns benefits to 7 organizations
I20210702000436 NJ Practitioner - Psychiatry 0749185973 Reassigns benefits to 2 organizations
I20210809003495 PA Practitioner - Psychiatry 0749185973 Reassigns benefits to 6 organizations
I20230502000885 VT Practitioner - Psychiatry 0749185973 Reassigns benefits to 1 organization
I20241113004762 VA Practitioner - Psychiatry 0749185973 Reassigns benefits to 1 organization
I20250108004147 MD Practitioner - Psychiatry 0749185973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Main Line HealthcareGroup PAC ID 1951215201, 1,154 clinicians
Physician Partners of Englewood PCGroup PAC ID 1153572482, 94 clinicians
Fornance Physician Services IncGroup PAC ID 8527962661, 105 clinicians
Center for Family Guidance PCGroup PAC ID 2860396454, 164 clinicians

Practice addresses (Care Compare)

130 S Bryn Mawr Ave
Main Line Health Psychiatric Assn Psych Uni
Bryn Mawr, PA 19010-3143
Phone (484) 337-4286

350 Engle St
Englewood, NJ 07631-1898
Phone (201) 292-1400

559 W Germantown Pike
East Norriton, PA 19403-4250

765 Route 70 E
BLDG a
Marlton, NJ 08053-2341
Phone (856) 983-3900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
166479-1NYMDPsychiatry Physician
MD472572PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College Psychiatry CurrentSince Sep 8, 2020 Accepting new patients
Northeastern Vermont Regional Hospital, Inc Current Accepting new patients
Einstein Practice Plan Inc CurrentSince Jan 1, 2026 Accepting new patients
Epilepsy Foundation of L.I. CurrentSince Aug 20, 2012 Accepting new patients
Pinnacle Health Medical Services CurrentSince Aug 14, 2021 Accepting new patients
Northeastern Vermont Regional Hospital Inc CurrentSince Sep 1, 2023 Accepting new patients
Main Line Healthcare CurrentSince Apr 1, 2024 Accepting new patients
Physician Partners of Englewood, PC CurrentSince Apr 1, 2025 Accepting new patients
Fornance Physician Services, Inc Psychiatry CurrentSince Jul 10, 2021 Accepting new patients
Northeastern Vermont Regional Hospital Inc. CurrentSince Sep 1, 2023 Accepting new patients
Gifford Medical Center Inc. CurrentSince Apr 17, 2023 Accepting new patients
Jawonio Inc CurrentSince Sep 1, 2013 Accepting new patients
Epic Long Island CurrentSince Aug 20, 2012 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Current Accepting new patients
Albany Medical College CurrentSince Sep 8, 2020 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Fornance Physician Services, Inc. CurrentSince Jul 10, 2021 Accepting new patients
Olean General Hospital CurrentSince May 17, 2023 Accepting new patients
Olean General Hospital CurrentSince May 17, 2023 Accepting new patients
Ellis Hospital CurrentSince Mar 20, 2023 Accepting new patients
Jawonio Inc Current Accepting new patients
Center for Family Guidance, PC Psychiatry CurrentSince Jul 1, 2021 Accepting new patients
Northeastern Vermont Regional Hospital, Inc Current Accepting new patients
Einstein Practice Plan Inc CurrentSince Jan 1, 2026 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients
University of Maryland Community Medical Group, Inc. Psychiatry CurrentSince Dec 1, 2024 Accepting new patients
Albany Medical College CurrentSince Sep 8, 2020 Accepting new patients
Gifford Medical Center Inc CurrentSince Apr 17, 2023 Accepting new patients
Pinnacle Health Medical Services CurrentSince Aug 14, 2021 Accepting new patients
Medical Associates of Englewood, PC CurrentSince Apr 1, 2025 Accepting new patients
Northeastern Vermont Regional Hospital, Inc Current Accepting new patients
Fornance Physician Services, Inc Current Accepting new patients
Jawonio Inc CurrentSince Sep 1, 2013 Accepting new patients
Olean General Hospital CurrentSince May 22, 2023 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Nov 1, 2024 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Nov 1, 2024 Accepting new patients

Locations (25 of 29)

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

219 S Washington St
Easton, MD 21601

5 Garrett Ave
La Plata, MD 20646
Phone (301) 609-4000

900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010

333 Irving Ave
Bridgeton, NJ 08302
Phone (856) 575-4500

350 Engle St
Englewood, NJ 07631
Phone (201) 871-6073

350 Engle St
#4E
Englewood, NJ 07631
Phone (201) 292-1400

765 Route 70 E
Bldg A
Marlton, NJ 08053
Phone (856) 797-4721

254 Easton Ave
New Brunswick, NJ 08901
Phone (732) 565-5453

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

1500 Hempstead Tpke
East Meadow, NY 11554
Phone 51673977331420

260 N Little Tor Rd
New City, NY 10956
Phone (845) 634-4648

515 Main St
Olean, NY 14760
Phone (716) 373-2600

150 Theodore Fremd Ave
Apt 87
Rye, NY 10580

1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916

775 N Main St
#D
Spring Valley, NY 10977
Phone (845) 708-2000

200 Pleasant St
Bradford, PA 16701
Phone (814) 362-8293

116 Interstate Pkwy
Bradford, PA 16701
Phone (814) 362-8674

130 S Bryn Mawr Ave
Bryn Mawr, PA 19010
Phone (484) 337-3000

1500 Lansdowne Ave
Darby, PA 19023
Phone (610) 237-4561

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

205 S Front St
Fl 5
Harrisburg, PA 17104
Phone (717) 231-8360

255 W Lancaster Ave
Paoli, PA 19301
Phone (484) 337-4286

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

Interoperability endpoints

  • Direct secure messaging: nkarroum3730210@direct.trinity-health.org
  • Direct secure messaging: nkarroum1005436@direct.sentara.net
  • Direct secure messaging: nkarroum839081@nychhc.direct-ci.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: nabil.karroum.p1@direct.cfg.nextgenshare.com
  • Direct secure messaging: nkarroum1236672@direct.umm.edu

Organizations & group practices 39

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.

View all 39

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": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1104985118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CYR CT",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109565856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 RIVERSIDE AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541450",
            "telephone_number": "612-672-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 S Bryn Mawr Ave",
            "address_purpose": "LOCATION",
            "city": "Bryn Mawr",
            "state": "PA",
            "postal_code": "190103121",
            "country_code": "US",
            "telephone_number": "484-337-4286",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1020 First Colonial Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234543078",
            "country_code": "US",
            "telephone_number": "757-395-1850",
            "fax_number": "757-222-9360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KARROUM",
        "first_name": "NABIL",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD472572",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "166479-1",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA04760500",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "72930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00998325",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.