Organization Active NPI

Carl M. Karoub, M.D., P.C.

  • Internal Medicine Physician
  • Royal Oak, MI
National Provider Identifier
1497915680
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301042923 Issued in MI
Legal business name
CARL M. KAROUB, M.D., P.C.
Practice address
4045 W 13 Mile Rd
Suite a
Royal Oak, MI 48073-6640
Phone
(248) 288-2160
Fax
(248) 288-0783
NPI assigned
Jun 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Authorized official

Name
Carl M Karoub, MDNPI 1063494706
Title
Owner/Physician
Phone
(248) 288-2160

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 4301042923 MI Primary

Addresses

Primary practice location

4045 W 13 Mile Rd
Suite a
Royal Oak, MI 48073-6640

Mailing address

4045 W 13 Mile Rd
Suite a
Royal Oak, MI 48073-6640
Phone (248) 288-2160

Other identifiers 3

IdentifierTypeStateIssuer
4300210OtherMIAETNA
DP3243OtherMIRAILROAD MEDICARE
A76139OtherMIHAP

Other names 1

  • Carl Karoub M.D. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080723000165 MI Part B Supplier - Clinic/Group Practice 2163595240 Receives reassigned benefits from 1 practitioner
Practice locations: Royal Oak, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674000000000",
    "number": "1497915680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 W 13 MILE RD",
            "address_2": "SUITE A",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736640",
            "telephone_number": "248-288-2160",
            "fax_number": "248-288-0783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 W 13 MILE RD",
            "address_2": "SUITE A",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736640",
            "telephone_number": "248-288-2160",
            "fax_number": "248-288-0783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL M. KAROUB, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-11",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "KAROUB",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "248-288-2160",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301042923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4300210",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DP3243",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "A76139",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carl Karoub M.D.",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Carl Karoub M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.