Individual provider Active NPI

Shabana C Karim, M.D.

  • Specialist
  • Greenville, MS
National Provider Identifier
1992903355
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
19663 Issued in MS
Practice address
1502 S Colorado St
Greenville, MS 38703-7219
Phone
(662) 332-8848
Fax
(662) 332-8854
NPI assigned
Jul 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 19663 MS Primary

Addresses

Primary practice location

1502 S Colorado St
Greenville, MS 38703-7219

Mailing address

PO Box 4577
Greenville, MS 38704-4577
Phone (662) 332-8848

Other identifiers 1

IdentifierTypeStateIssuer
02273838MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20100223000028 MS Practitioner - Rheumatology 2769526284 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1502 S Colorado St
Greenville, MS 38703-7219
Phone (662) 332-9872

Hospital & facility affiliations

  • Vitalcaring Group Home health agency, Cleveland, MS, CCN 257016
  • Delta Health System - the Medical Center Hospital, Greenville, MS, CCN 250082
  • Delta Regional Medical Center Inpatient rehabilitation facility, Greenville, MS, CCN 25T082

Merit-based Incentive Payment System (MIPS)

Final score
28.57 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
95.23

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rheumatology Associates of Greenville PC CurrentSince Feb 23, 2010 Accepting new patients
Delta Medical Group CurrentSince Sep 19, 2010 Accepting new patients
Delta Physician Practices Past Accepting new patients
Delta Health System Past Accepting new patients

Locations

1693 Fairgrounds Rd
Greenville, MS 38703
Phone (662) 378-3783

300 S Washington Ave
Greenville, MS 38701
Phone (662) 378-2020

1502 S Colorado St
Greenville, MS 38703
Phone (601) 332-9872

Interoperability endpoints

  • Direct secure messaging: shabanakarim@tgcpa.allscriptsdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391472000000",
    "number": "1992903355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4577",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387044577",
            "telephone_number": "662-332-8848",
            "fax_number": "662-332-8854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 S COLORADO ST",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387037219",
            "telephone_number": "662-332-8848",
            "fax_number": "662-332-8854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARIM",
        "first_name": "SHABANA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-06",
        "last_updated": "2014-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MS",
            "license": "19663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02273838",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, MS

Sources for this page

Verify at the official NPI Registry.