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DR. ABDUL KARIM GARUBA MD
NPI 1063483113
Internal Medicine in Matthews, NC

Active since January 27, 2006PECOS EnrolledAccepts Medicare Assignment
9705 NORTHEAST PKWY STE 400, MATTHEWS, NC 28105(704) 844-8971(704) 844-8972 Get Directions Write a Review

NPPES record last updated: February 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 10, 2025, Jun 27, 2024, Jun 8, 2020 (3 updates tracked since 2020).

About Dr. Abdul Karim Garuba Md NPPES

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

DR. ABDUL KARIM GARUBA MD (NPI 1063483113) is an individual internal medicine provider in Matthews, North Carolina, licensed in North Carolina (200001378) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Novant Health Matthews Medical Center, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1063483113
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ABDUL KARIM GARUBACredential: MD
Location Address9705 NORTHEAST PKWY STE 400Matthews, NC 28105-9704
Mailing Address9705 Northeast Pkwy Ste 400Matthews, NC 28105-9704 · (704) 844-8971 · Fax (704) 844-8972
Phone(704) 844-8971
Fax(704) 844-8972
Sole ProprietorYes
Medical School CMSOtherGraduated 1985
Enumeration DateJanuary 27, 2006
Last NPPES UpdateFebruary 10, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2025
✔ NPI 1063483113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NC · 200001378
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 200001378 (NC)
9705 NORTHEAST PKWY STE 400, Matthews, NC 28105
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Other Identifiers 1

Medicaid89132MMNC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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. Abdul Karim Garuba Md 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 ID9032175583
PECOS Enrollment IDI20041210000823
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 Reassignment

Medicare enrollment records show Abdul Garuba reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Polyclinic Medical Center, Inc.
Same address
Critical Care Medicine
9705 NORTHEAST PKWY STE 400
Matthews, NC 28105
  • Reassigned Medicare billing, North Carolina enrollment
  • 2 clinicians in this Medicare group
NPI 1821059650 (704) 844-8971

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 7

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
169 services48 patients
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.
111 services49 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
70 services19 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
43 services43 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
41 services41 patients
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes G0446
This is a yearly, personal consultation focused on behaviors affecting heart health. It lasts 15 minutes and may cover topics like diet, exercise, and stress management. It's about learning healthy habits to protect your heart.
29 services29 patients

Hospital Affiliations CMS Care Compare

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

Novant Health Matthews Medical Center

Acute Care Hospitals · Matthews, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340171
Location1500 Matthews Twnshp Prkwy Box 3310Matthews, NC 28106 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28105 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%120 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers19 claims70 services$6.38 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 4

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

LILLIAN SLIWOSKI NP
Nurse Practitioner (Family)
9705 NORTHEAST PKWY STE 400
MATTHEWS, NC 28105
Mecklenburg County (704) 884-8971
ALEXA RIVERA FNP-C
Nurse Practitioner (Family)
9705 NORTHEAST PKWY STE 400
MATTHEWS, NC 28105
Mecklenburg County (704) 844-8971
SANAM KHAND THAKURI FNP
Nurse Practitioner (Family)
9705 NORTHEAST PKWY STE 400
MATTHEWS, NC 28105
Mecklenburg County (704) 844-8971
POLYCLINIC MEDICAL CENTER, INC.
Internal Medicine (Critical Care Medicine)
9705 NORTHEAST PKWY STE 400
MATTHEWS, NC 28105
Mecklenburg County (704) 844-8971

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 Abdul Garuba's NPI number?

The NPI number for Abdul Garuba is 1063483113. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Where is Abdul Garuba located?

Abdul Garuba practices at 9705 Northeast Pkwy Ste 400, Matthews, NC 28105. The listed phone number is (704) 844-8971.

What is Abdul Garuba's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Abdul Garuba enrolled in Medicare?

Yes. Abdul Garuba 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.

Which organization bills Medicare for Abdul Garuba's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abdul Garuba reassigns Medicare benefits to Polyclinic Medical Center, Inc. (Matthews, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Abdul Garuba's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Abdul Garuba accept?

Health plans from UnitedHealthcare list Abdul Garuba as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Abdul Garuba affiliated with any hospitals?

According to CMS data, Abdul Garuba is affiliated with Novant Health Matthews Medical Center.

When was this NPI record last updated?

The NPPES record for Abdul Garuba was last updated on February 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.