Ghadah Abdullah Karasneh, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

4646 N Marine Dr Ste B125
Chicago, IL 60640-5759

Phone

(812) 235-8496

NPI assigned

May 23, 2023

Last updated

Oct 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• HPW Center for Diabetes, LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Terre Haute, IN
  • NPI 1043680515

  IL

  Medicare reassignment
• Providence Medical Group LLC

  • Multi-Specialty Clinic/Center
  • Terre Haute, IN
  • NPI 1891729141
  NPD (past)

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1124710520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2361 DOGWOOD TRACE BLVD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405142401",
            "telephone_number": "131-292-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 N MARINE DR STE B125",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405759",
            "telephone_number": "812-235-8496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2361 Dogwood Trace Blvd",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405142401",
            "country_code": "US",
            "telephone_number": "312-927-4557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KARASNEH",
        "first_name": "GHADAH",
        "middle_name": "ABDULLAH",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-23",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sanjana Rao Karanam
• Paramesh Vidyanand Karandikar, MD
• Kelly Karas-Hedrick, DNP, FNP-BC
• Anatoli Frances Karas
• Vasili Karas, M.D.
• Judith Karbal, LCPC
• Alexander Michael Karban, DC
• Brynn Karch, APN-CRNA
• Kelsi Ann Karch
• Danielle Karcz, LPC

• Physician Assistant in Chicago, IL
• Providers in Chicago, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.