Individual provider Active NPI

Abdul Karim, MD

  • Cardiovascular Disease Physician
  • Rockledge, FL
National Provider Identifier
1790846756
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME46164 Issued in FL
Practice address
389 Commerce Pkwy
Rockledge, FL 32955-4202
Phone
(321) 806-3949
Fax
(321) 806-3945
NPI assigned
Dec 13, 2006
Last updated
Mar 6, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2013

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 ME46164 FL Primary

Addresses

Primary practice location

389 Commerce Pkwy
Rockledge, FL 32955-4202

Mailing address

389 Commerce Pkwy
Rockledge, FL 32955-4202
Phone (321) 806-3949

Other identifiers 2

IdentifierTypeStateIssuer
05583OtherFLBCBC FL
27884OtherFLWELLCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20090116000585 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4587727706 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. 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
Steward Medical Group, Inc. Cardiovascular Disease CurrentSince Sep 30, 2018 Accepting new patients
Steward Medical Group, Inc CurrentSince Sep 30, 2018 Accepting new patients
Florida Pain & Rehabilitation Institute Inc Past Accepting new patients
Stewart and Stewart a Medical Corporation Past Accepting new patients

Locations

103 Longwood Ave
Rockledge, FL 32955
Phone (321) 631-5677

835 Executive Ln
Ste 110
Rockledge, FL 32955
Phone (321) 638-2075

8000 Ron Beatty Blvd
Ste A-3
Sebastian, FL 32976
Phone (772) 664-1388

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362528000000",
    "number": "1790846756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "389 COMMERCE PKWY",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554202",
            "telephone_number": "321-806-3949",
            "fax_number": "321-806-3945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 COMMERCE PKWY",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554202",
            "telephone_number": "321-806-3949",
            "fax_number": "321-806-3945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARIM",
        "first_name": "ABDUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2013-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME46164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBC FL",
            "identifier": "05583",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "27884",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

Verify at the official NPI Registry.