Individual provider Active NPI

Karen Horton Harum, MD

  • Pediatric Neurodevelopmental Disabilities Physician
  • Wilmington, NC
National Provider Identifier
1568423499
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Neurodevelopmental Disabilities PhysicianTaxonomy code 2080P0008X
License
34344 Issued in NC
Practice address
432 Eastwood Rd Ste 200
Wilmington, NC 28403-1873
Phone
(910) 319-7744
Fax
(910) 319-7754
NPI assigned
Mar 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 34344 NC
Pediatric Neurodevelopmental Disabilities Physician 2080P0008X 34344 NC Primary

Addresses

Primary practice location

432 Eastwood Rd Ste 200
Wilmington, NC 28403-1873

Mailing address

432 Eastwood Rd Ste 200
Wilmington, NC 28403-1873
Phone (910) 319-7744

Other identifiers 2

IdentifierTypeStateIssuer
89013MTMedicaidNC
128CXOtherNCBC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20050128000893 NC Practitioner - Pediatric Medicine 5890745756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of Miami, LM Miller School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Karen H Harum MD Faap PLLCGroup PAC ID 0345618872, 2 clinicians

Practice addresses (Care Compare)

5725 Oleander Dr
Suite C1C
Wilmington, NC 28403-4724
Phone (910) 319-7744

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34344NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Karen H. Harum, MD, Faap, PLLC Pediatrics CurrentSince Sep 1, 2022 Accepting new patients

Locations

432 Eastwood Rd
Ste 200
Wilmington, NC 28403
Phone (910) 319-7744

5725 Oleander Dr
Ste C1
Wilmington, NC 28403
Phone (910) 319-7744

5725 Oleander Dr
Ste C1C
Wilmington, NC 28403
Phone (910) 319-7744

Interoperability endpoints

  • Direct secure messaging: karen.harum@direct.clinicforspecialchildren.nchie.net
  • Direct secure messaging: harumk@org1.direct.charmhealth.com

Organizations & group practices 1

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": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1568423499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 EASTWOOD RD STE 200",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284031873",
            "telephone_number": "910-319-7744",
            "fax_number": "910-319-7754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 EASTWOOD RD STE 200",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284031873",
            "telephone_number": "910-319-7744",
            "fax_number": "910-319-7754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARUM",
        "first_name": "KAREN",
        "middle_name": "HORTON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-30",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "34344",
            "primary": false
        },
        {
            "code": "2080P0008X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neurodevelopmental Disabilities",
            "state": "NC",
            "license": "34344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89013MT",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "128CX",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.