Individual provider Active NPI

Ali Kareem

  • Physician Assistant
  • Saint Matthews, SC
National Provider Identifier
1992133573
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3828 Issued in SC
Practice address
601 Dantzler St
Saint Matthews, SC 29135-1522
Phone
(760) 840-3959
NPI assigned
Oct 17, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X
Physician Assistant 363A00000X
Medical Physician Assistant 363AM0700X 55460 CA
Physician Assistant 363A00000X 3828 SC Primary

Addresses

Primary practice location

601 Dantzler St
Saint Matthews, SC 29135-1522

Mailing address

4400 Wildcat Rd
Columbia, SC 29209-1020
Phone (760) 840-3959

Other practice location 1

6500 Red Hook Plz Ste 205
St Thomas, VI 00802-1346
Phone (340) 643-3989

Other practice location 2

1 grandview ave
#2
Quincy, MA 02170
Phone (340) 643-3989

Other practice location 3

20 Pinnacle Pkwy
Elgin, SC 29045-8389
Phone (803) 438-8890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210201002018 SC Practitioner - Physician Assistant 5496169567 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Rehab Consultants PLLCGroup PAC ID 6800220682, 251 clinicians

Practice addresses (Care Compare)

1150 State Rd
Cheraw, SC 29520-2048
Phone (843) 537-2060

1810 Richmond Ave
Port Royal, SC 29935-2015
Phone (843) 781-7700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
55460CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Rehab Consultants PLLC CurrentSince Feb 3, 2025 Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

710 Highway 15-401 Byp W
Bennettsville, SC 29512
Phone (843) 479-6251

1810 Richmond Ave
Port Royal, SC 29935
Phone (843) 781-7700

601 Dantzler St
St Matthews, SC 29135
Phone (803) 655-7101

Interoperability endpoints

  • Direct secure messaging: ali.kareem.1@22263.direct.athenahealth.com

Organizations & group practices 5

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": "1381968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1992133573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 WILDCAT RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292091020",
            "telephone_number": "760-840-3959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 DANTZLER ST",
            "city": "SAINT MATTHEWS",
            "state": "SC",
            "postal_code": "291351522",
            "telephone_number": "760-840-3959"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6500 Red Hook Plz Ste 205",
            "address_purpose": "LOCATION",
            "city": "St Thomas",
            "state": "VI",
            "postal_code": "008021346",
            "country_code": "US",
            "telephone_number": "340-643-3989",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 grandview ave",
            "address_2": "#2",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "MA",
            "postal_code": "02170",
            "country_code": "US",
            "telephone_number": "340-643-3989",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Pinnacle Pkwy",
            "address_purpose": "LOCATION",
            "city": "Elgin",
            "state": "SC",
            "postal_code": "290458389",
            "country_code": "US",
            "telephone_number": "803-438-8890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAREEM",
        "first_name": "ALI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-17",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "55460",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "3828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Matthews, SC

Sources for this page

Verify at the official NPI Registry.