Individual provider Active NPI

Ayman Karkoutly, M.D.

  • Cardiovascular Disease Physician
  • Lubbock, TX
National Provider Identifier
1477583052
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
F7799 Issued in TX
Practice address
4001 21St St
Lubbock, TX 79410-1134
Phone
(806) 797-4774
Fax
(806) 797-4377
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X F7799 TX Primary

Addresses

Primary practice location

4001 21St St
Lubbock, TX 79410-1134

Mailing address

4001 21St St
Lubbock, TX 79410-1134
Phone (806) 797-4774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20091228000105 TX Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 2567550890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4001 21St St
Lubbock, TX 79410-1101
Phone (806) 797-4774

Hospital & facility affiliations

  • Lubbock Heart Hospital LP Hospital, Lubbock, TX, CCN 450876
  • University Medical Center Hospital, Lubbock, TX, CCN 450686

Merit-based Incentive Payment System (MIPS)

Final score
22.56 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
75.18

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting16
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ayman Karkoutly, M.D., PA Cardiovascular Disease CurrentSince Dec 9, 2009 Accepting new patients
Lubbock Heart Hospital, LLC Past Accepting new patients

Locations

4001 21st St
Lubbock, TX 79410
Phone (806) 797-4774

Interoperability endpoints

  • Direct secure messaging: akarkoutly@yourcarecommunity.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.

Hospital & facility affiliations 6

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477583052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 21ST ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101134",
            "telephone_number": "806-797-4774",
            "fax_number": "806-797-4377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 21ST ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101134",
            "telephone_number": "806-797-4774",
            "fax_number": "806-797-4377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARKOUTLY",
        "first_name": "AYMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "F7799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.