HALA KARNIB M.D.
NPI 1104112259
Internal Medicine - Pulmonary Disease in Louisville, KY

Active since June 27, 2011PECOS EnrolledAccepts Medicare Assignment
85.73/100
CMS Quality Rating
200 E CHESTNUT ST STE 303, LOUISVILLE, KY 40202(502) 629-4409(502) 629-3132 Get Directions Write a Review

NPPES record last updated: March 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 13, 2020, Nov 23, 2018, Jul 12, 2018 (3 updates tracked since 2018).

About Hala Karnib M.d. NPPES

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

HALA KARNIB M.D. (NPI 1104112259) is an individual pulmonary disease provider in Louisville, Kentucky, licensed in Kentucky (48145) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with Cape Cod Hospital, and maintains a secondary practice location in Royal Oak.

NPPES Registry Identity

NPI1104112259
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameHALA KARNIBCredential: M.D.
Location Address200 E CHESTNUT ST STE 303Louisville, KY 40202
Mailing Address3601 W 13 Mile RdRoyal Oak, MI 48073-6712 · (248) 551-3000
Fax(502) 629-3132
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 27, 2011
Last NPPES UpdateMarch 13, 20203 updates tracked since enumeration
NPPES CertifiedMarch 13, 2020
NPI 1104112259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in KY · 48145
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4301098935 (MI)
200 E CHESTNUT ST STE 303, Louisville, KY 40202

Secondary Practice Location 1

Location 13601 W 13 Mile RdRoyal Oak, MI 48073-6712 · Phone (248) 551-3000

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

Hala Karnib M.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 ID1759513849
PECOS Enrollment IDI20200331002477
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 2

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
173 services105 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
118 services79 patients

Hospital Affiliations CMS Care Compare 3

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

Cape Cod Hospital

Acute Care Hospitals · Hyannis, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220012
Location27 Park StreetHyannis, MA 02601 · Barnstable County
Emergency services Birthing friendly

Beth Israel Deaconess Medical Center

Acute Care Hospitals · Boston, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220086
Location330 Brookline AvenueBoston, MA 02215 · Suffolk County
Emergency services Birthing friendly

Falmouth Hospital

Acute Care Hospitals · Falmouth, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220135
Location67 & 100 Ter Heun DriveFalmouth, MA 02540 · Barnstable County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

85.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.06
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers16 claims96 services$1.39 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
2 suppliers13 claims13 services$914.00 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$57.34 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.

Physician Assistant
200 E CHESTNUT ST STE 303
LOUISVILLE, KY 40202
Nurse Practitioner (Acute Care)
200 E CHESTNUT ST STE 303
LOUISVILLE, KY 40202
Nurse Practitioner (Acute Care)
200 E CHESTNUT ST STE 303
LOUISVILLE, KY 40202
Internal Medicine
200 E CHESTNUT ST STE 303
LOUISVILLE, KY 40202
Internal Medicine
200 E CHESTNUT ST STE 303
LOUISVILLE, KY 40202
Nurse Practitioner (Family)
200 E CHESTNUT ST STE 303
LOUISVILLE, KY 40202
Nurse Practitioner (Acute Care)
200 E CHESTNUT ST STE 303
LOUISVILLE, KY 40202
Physician Assistant
200 E CHESTNUT ST STE 303
LOUISVILLE, KY 40202

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 Hala Karnib's NPI number?

The NPI number for Hala Karnib is 1104112259. It was assigned to this individual provider in the NPPES registry on June 27, 2011.

Where is Hala Karnib located?

Hala Karnib practices at 200 E Chestnut St Ste 303, Louisville, KY 40202. The listed phone number is (502) 629-4409.

What is Hala Karnib's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Hala Karnib enrolled in Medicare?

Yes. Hala Karnib 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 Hala Karnib affiliated with any hospitals?

According to CMS data, Hala Karnib is affiliated with Cape Cod Hospital, Beth Israel Deaconess Medical Center and Falmouth Hospital.

When was this NPI record last updated?

The NPPES record for Hala Karnib was last updated on March 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.