Organization Active NPI

Abdallah Karam, MD, SC

  • Internal Medicine Physician
  • Arlington Heights, IL
National Provider Identifier
1811087562
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036089657 Issued in IL
Legal business name
ABDALLAH KARAM, MD, SC
Practice address
2101 S Arlington Heights Rd Ste 100
Arlington Heights, IL 60005-4198
Phone
(847) 427-2100
Fax
(847) 427-2100
NPI assigned
Oct 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Authorized official

Name
Abdallah Karam, M.D.NPI 1144257395
Title
President
Phone
(847) 427-2100

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 036089657 IL Primary

Addresses

Primary practice location

2101 S Arlington Heights Rd Ste 100
Arlington Heights, IL 60005-4198

Mailing address

657 E Golf Road
Suite 306
Arlington Heights, IL 60005
Phone (847) 427-2100

Other identifiers 1

IdentifierTypeStateIssuer
1608449OtherILBLUE SHIELD BLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050505001094 IL Part B Supplier - Clinic/Group Practice 7618917931 Receives reassigned benefits from 1 practitioner
Practice locations: Arlington Heights, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D1041237Abdallah Karam MD SC2101 S Arlington Heights Rd, Arlington Heights, IL 60005Certificate of waiverMay 25, 2027

National Provider Directory

National Provider Directory

Locations

2101 S Arlington Heights Rd
Ste 100
Arlington Heights, IL 60005
Phone (847) 228-6955

657 E Golf Rd
Ste 306
Arlington Hts, IL 60005
Phone (847) 427-2100

800 Austin St
Ste 403W
Evanston, IL 60202
Phone (847) 491-1320

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBHBCA

Practitioners & affiliated clinicians

Practitioners 2

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": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1811087562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 E GOLF ROAD",
            "address_2": "SUITE 306",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "60005",
            "telephone_number": "847-427-2100",
            "fax_number": "847-427-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 S ARLINGTON HEIGHTS RD STE 100",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054198",
            "telephone_number": "847-427-2100",
            "fax_number": "847-427-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABDALLAH KARAM, MD, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "KARAM",
        "authorized_official_first_name": "ABDALLAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-427-2100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036089657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD BLUE CROSS",
            "identifier": "1608449",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.