DR. ELIAS KARROUM M.D, PH.D.
NPI 1053699876
Psychiatry & Neurology - Sleep Medicine in Charlottesville, VA

Active since July 27, 2011PECOS EnrolledAccepts Medicare Assignment
1221 LEE STREET, CHARLOTTESVILLE, VA 22908(434) 924-2706(434) 924-9068 Get Directions Write a Review

NPPES record last updated: January 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 16, 2021, Aug 2, 2017 and 2 more (5 updates tracked since 2016).

About Dr. Elias Karroum M.d, Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ELIAS KARROUM M.D, PH.D. (NPI 1053699876) is an individual sleep medicine provider in Charlottesville, Virginia, licensed in Virginia (0101274386) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with University Of Virginia Medical Center, and maintains a secondary practice location in Charlottesville.

NPPES Registry Identity

NPI1053699876
Entity TypeIndividualMale
Primary Taxonomy2084S0012X
Provider Legal NameDR. ELIAS KARROUMCredential: M.D, PH.D.
Location Address1221 LEE STREETCharlottesville, VA 22908-3201
Mailing AddressPo Box 9007Charlottesville, VA 22906-9007
Fax(434) 924-9068
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 27, 2011
Last NPPES UpdateJanuary 25, 20245 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2024
NPI 1053699876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084S0012X
Licenses Licensed in VA · 0101274386 Licensed in DC · MD045226
Definition
A Psychiatrist or Neurologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License MD045226 (DC), 0101274386 (VA)
1221 LEE STREET, Charlottesville, VA 22908

Secondary Practice Location 1

Location 11215 Lee StCharlottesville, VA 22908-3201 · Phone (434) 924-2706 · Fax (434) 924-9068

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Elias Karroum M.d, Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759529415
PECOS Enrollment IDI20240201000872
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
58 services34 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
42 services41 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
31 services31 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
18 services18 patients
Sleep study including heart rate, breathing, airflow, and effort 95806
A sleep study monitors your heart rate, breathing patterns, airflow, and physical effort while you sleep. It helps identify sleep disorders by tracking your sleep stages and cycles. This data aids doctors in diagnosing and treating sleep-related issues.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Virginia Medical Center

Acute Care Hospitals · Charlottesville, VA
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number490009
Location1215 Lee StreetCharlottesville, VA 22908 · Charlottesville City County
Emergency services Birthing friendly

Sentara Martha Jefferson Hospital

Acute Care Hospitals · Charlottesville, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490077
Location500 Martha Jefferson DriveCharlottesville, VA 22911 · Albemarle County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22908 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 15

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
11 suppliers89 claims89 services$32.57 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
9 suppliers80 claims80 services$72.92 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
8 suppliers66 claims184 services$28.08 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
10 suppliers54 claims296 services$15.17 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
5 suppliers20 claims108 services$13.32 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
11 suppliers88 claims88 services$46.31 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Interventional Cardiology)
1221 LEE STREET
CHARLOTTESVILLE, VA 22908
Family Medicine
1221 LEE STREET
CHARLOTTESVILLE, VA 22908
Nurse Practitioner (Family)
1221 LEE STREET
CHARLOTTESVILLE, VA 22908
Psychiatry & Neurology (Neurology)
1221 LEE STREET
CHARLOTTESVILLE, VA 22908
Nurse Practitioner (Acute Care)
1221 LEE STREET
CHARLOTTESVILLE, VA 22908
Internal Medicine (Cardiovascular Disease)
1221 LEE STREET
CHARLOTTESVILLE, VA 22908
Family Medicine
1221 LEE STREET
CHARLOTTESVILLE, VA 22908
Internal Medicine (Interventional Cardiology)
1221 LEE STREET
CHARLOTTESVILLE, VA 22908

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elias Karroum's NPI number?

The NPI number for Elias Karroum is 1053699876. It was assigned to this individual provider in the NPPES registry on July 27, 2011.

Where is Elias Karroum located?

Elias Karroum practices at 1221 Lee Street, Charlottesville, VA 22908. The listed phone number is (434) 924-2706.

What is Elias Karroum's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Sleep Medicine, with taxonomy code 2084S0012X.

Is Elias Karroum enrolled in Medicare?

Yes. Elias Karroum is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Elias Karroum affiliated with any hospitals?

According to CMS data, Elias Karroum is affiliated with University Of Virginia Medical Center and Sentara Martha Jefferson Hospital.

When was this NPI record last updated?

The NPPES record for Elias Karroum was last updated on January 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.