Krystel Abi Karam
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Saint Louis, MO
NPI 1912708124 · NPPES record last updated Mar 24, 2025
Key facts
- NPI
- 1912708124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1201 S Grand Blvd
Saint Louis, MO 63104-1016 - Phone
- (314) 257-8000
- Fax
- (314) 977-1664
- NPI assigned
- Mar 24, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250815003403 | MO | Order and Referring Only - Internal Medicine |
9931608056 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1201 S Grand Blvd
Saint Louis, MO 63104-1016
Mailing address
1008 S Spring Ave
Saint Louis, MO 63110-2520
Phone (314) 977-2605
Other providers in Saint Louis, MO
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- Lisa Abernathy
- Loren Ann Abernathy
- Sasha Jane Abi Aad
- Abi'S Clinic LTD.
- Lachman Abichandani
- Syed Amaan Abidi
- Michele Abidin
- Abiding Faith Health Care Services
All providers in Saint Louis, MO · Student in an Organized Health Care Education/Training Program in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.