Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Q: 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.

Q: What is Elias Karroum's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Elias Karroum was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.

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: September 30, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 30, 2026, Jul 21, 2022, Aug 16, 2021 and 3 more (6 updates tracked since 2016).

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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 749112Atlanta, GA 30374-9112

Phone(434) 924-2706

Fax(434) 924-9068

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateJuly 27, 2011

Last NPPES UpdateSeptember 30, 20266 updates tracked since enumeration

NPPES CertifiedSeptember 30, 2026

✔ 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

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Secondary Practice Location 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Elias Karroum reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Virginia Physicians Group

1.0 mi

Neuromusculoskeletal Medicine, Sports Medicine

4105 LEWIS AND CLARK DR
Charlottesville, VA 22911

Reassigned Medicare billing, Virginia enrollment
2,820 clinicians in this Medicare group

NPI 1033138250 (434) 295-1000

Medical Faculty Associates, Inc

99 mi

Anesthesiology

2150 PENNSYLVANIA AVE NW, SUITE 10-409A
Washington, DC 20037

Reassigned Medicare billing, District of Columbia enrollment
1,275 clinicians in this Medicare group

NPI 1417990581 (202) 741-3350

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

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

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.

KANWAR P. SINGH M.D.

Internal Medicine (Interventional Cardiology)