Individual provider Active NPI

Karim Ahmed Paracha, M.D.

  • Surgery Physician
  • East Setauket, NY
National Provider Identifier
1316128937
Registry record updated May 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
254899-1 Issued in NY
Practice address
4 Technology Dr
Suite 240
East Setauket, NY 11733-4080
Phone
(631) 675-6865
Fax
(631) 403-4737
NPI assigned
Nov 26, 2007
Last updated
May 5, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 254899-1 NY Primary

Addresses

Primary practice location

4 Technology Dr
Suite 240
East Setauket, NY 11733-4080

Mailing address

4 Technology Dr
Suite 240
East Setauket, NY 11733-4080
Phone (631) 675-6865

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20140625000209 NY Practitioner - General Surgery 3072781624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4 Technology Dr
Suite 240
East Setauket, NY 11733-4085
Phone (631) 675-6865

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.31 of 100Reported as individual
Quality
85.58
Promoting interoperability
83
Improvement activities
40
Cost
76.99

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux15
Melanoma (skin cancer) excision1-10
Removal of tissue567
Removal of skin lesions1-10
Skin biopsy1-10
Removal of the uterus15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
254899-1NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Karim a Paracha Physician PC Surgery CurrentSince Apr 1, 2014 Accepting new patients
Blue Harbor Medical PC Surgery Past Accepting new patients
Port Jefferson ASC, LLC PastSince Feb 16, 2016 Accepting new patients

Locations

4 Technology Dr
Ste 240
East Setauket, NY 11733
Phone (631) 476-9296

Interoperability endpoints

  • Direct secure messaging: kparachamd65741@northwell.direct-ci.com

Organizations & group practices 3

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 5

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": "1196035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430784000000",
    "number": "1316128937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 TECHNOLOGY DR",
            "address_2": "SUITE 240",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117334080",
            "telephone_number": "631-675-6865",
            "fax_number": "631-403-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 TECHNOLOGY DR",
            "address_2": "SUITE 240",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117334080",
            "telephone_number": "631-675-6865",
            "fax_number": "631-403-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARACHA",
        "first_name": "KARIM",
        "middle_name": "AHMED",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-26",
        "last_updated": "2015-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "254899-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Setauket, NY

Sources for this page

Verify at the official NPI Registry.