Individual provider Active NPI

John J Karazim II, MD

  • Internal Medicine Physician
  • Bloomfield Hills, MI
National Provider Identifier
1164469102
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301040146 Issued in MI
Practice address
290 Chesterfield Rd
Bloomfield Hills, MI 48304-3522
Phone
(248) 649-2323
Fax
(248) 649-5998
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301040146 MI Primary

Addresses

Primary practice location

290 Chesterfield Rd
Bloomfield Hills, MI 48304-3522

Mailing address

290 Chesterfield Rd
Bloomfield Hills, MI 48304-3522
Phone (248) 535-9889

Other identifiers 1

IdentifierTypeStateIssuer
104707311MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Health Group, Inc. Past Accepting new patients
Karazim Rehab Consultants Physical Medicine & Rehabilitation PastSince Aug 5, 2004 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jkarazim1134130@direct.hfhs.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1164469102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 CHESTERFIELD RD",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483043522",
            "telephone_number": "248-535-9889",
            "fax_number": "877-992-4915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 CHESTERFIELD RD",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483043522",
            "telephone_number": "248-649-2323",
            "fax_number": "248-649-5998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARAZIM",
        "first_name": "JOHN",
        "middle_name": "J",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301040146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104707311",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.