Individual provider Active NPI

Karim Abdul Katrib, M.D.

  • Otolaryngology Physician
  • South Charleston, WV
National Provider Identifier
1447242557
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
14043 Issued in WV
Practice address
400 Division St
Suite 12
South Charleston, WV 25309-1459
Phone
(304) 766-3473
Fax
(304) 766-3664
NPI assigned
Aug 16, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X WV14043 WV
Otolaryngology Physician 207Y00000X 14043 WV Primary

Addresses

Primary practice location

400 Division St
Suite 12
South Charleston, WV 25309-1459

Mailing address

400 Division St
Suite 12
South Charleston, WV 25309-1459
Phone (304) 766-3473

Other practice location 1

38 Hospital Dr Ste Ga
Logan, WV 25601-3452
Phone (304) 831-1480

Other identifiers 1

IdentifierTypeStateIssuer
0101519000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20040311001059 WV Practitioner - Otolaryngology 9133018856 Reassigns benefits to 1 organization
Practice locations: Logan, WV; S Charleston, WV

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Logan General Hospital LLCGroup PAC ID 9537078977, 27 clinicians

Practice addresses (Care Compare)

20 Hospital Dr
Logan, WV 25601-3452
Phone (304) 831-1801

Hospital & facility affiliations

  • Logan Regional Medical Center Hospital, Logan, WV, CCN 510048

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
WV14043WVMDSpecialist
14043WVMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Logan General Hospital LLC CurrentSince Jul 1, 2022 Accepting new patients
Appalachia Pathology Consultants LLC Current Accepting new patients
Central WV Derm Assoc Inc Past Accepting new patients

Locations

38 Hospital Dr
Logan, WV 25601
Phone (304) 792-6282

38 Hospital Dr
Ste Ga
Logan, WV 25601
Phone (304) 831-1480

20 Hospital Dr
Logan, WV 25601
Phone (304) 792-1101

Interoperability endpoints

  • Direct secure messaging: abdul.katrib.1@26088.direct.athenahealth.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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1447242557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 DIVISION ST",
            "address_2": "SUITE 12",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091459",
            "telephone_number": "304-766-3473",
            "fax_number": "304-766-3664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 DIVISION ST",
            "address_2": "SUITE 12",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091459",
            "telephone_number": "304-766-3473",
            "fax_number": "304-766-3664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38 Hospital Dr Ste Ga",
            "address_purpose": "LOCATION",
            "city": "Logan",
            "state": "WV",
            "postal_code": "256013452",
            "country_code": "US",
            "telephone_number": "304-831-1480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KATRIB",
        "first_name": "KARIM",
        "middle_name": "ABDUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WV",
            "license": "WV14043",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "WV",
            "license": "14043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0101519000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Charleston, WV

Sources for this page

Verify at the official NPI Registry.