AYHAM ALKARMI MD
NPI 1194399139
Otolaryngology in Edwardsville, IL

Active since May 14, 2021PECOS EnrolledAccepts Medicare Assignment
3417 ANDERSON HEALTHCARE DR STE 200, EDWARDSVILLE, IL 62025(618) 288-8500(618) 288-8501 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 8, 2025, Jan 3, 2025, May 14, 2021 (3 updates tracked since 2021).

About Ayham Alkarmi Md NPPES

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

AYHAM ALKARMI MD (NPI 1194399139) is an individual otolaryngology provider in Edwardsville, Illinois, licensed in Illinois (036171269) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, is affiliated with Osf Saint Anthony's Health Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1194399139
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameAYHAM ALKARMICredential: MD
Location Address3417 ANDERSON HEALTHCARE DR STE 200Edwardsville, IL 62025
Mailing Address3417 Anderson Healthcare Dr Ste 200Edwardsville, IL 62025-7784
Fax(618) 288-8501
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateMay 14, 2021
Last NPPES UpdateApril 8, 20253 updates tracked since enumeration
NPPES CertifiedApril 8, 2025
✔ NPI 1194399139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in IL · 036171269
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
3417 ANDERSON HEALTHCARE DR STE 200, Edwardsville, IL 62025

Secondary Practice Locations 2

Location 1736 Cambridge StBrighton, MA 02135-2907 · Phone (617) 779-6441
Location 21201 S Grand BlvdSaint Louis, MO 63104-1016 · Phone (314) 617-2000

Accepted 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

Ayham Alkarmi 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 ID3577096189
PECOS Enrollment IDI20241104001580
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

3

Medicare enrollment records show Ayham Alkarmi reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
6810 STATE ROUTE 162, SUITE 215
Maryville, IL 62062
  • Reassigned Medicare billing, Illinois enrollment
  • 145 clinicians in this Medicare group
Internal Medicine
1225 SOUTH GRAND BLVD, 2L - DOOR 3,4
Saint Louis, MO 63104
  • Reassigned Medicare billing, Missouri enrollment
  • 1,294 clinicians in this Medicare group
Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • 2,944 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare 2

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

Osf Saint Anthony's Health Center

Acute Care Hospitals · Alton, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140052
LocationSt Anthony's WayAlton, IL 62002 · Madison County

Anderson Hospital

Acute Care Hospitals · Maryville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140289
Location6800 State Route 162Maryville, IL 62062 · Madison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62025 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
$131.14 typical visit price
range $56.28 – $173.35
Typical copayment $32.78 (range $14.07 – $43.33)
Most-billed visit code 99204
Established Patient
$70.42 typical visit price
range $17.51 – $139.99
Typical copayment $17.60 (range $4.37 – $34.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

Nurse Practitioner (Family)
3417 ANDERSON HEALTHCARE DR STE 200
EDWARDSVILLE, IL 62025
Family Medicine
3417 ANDERSON HEALTHCARE DR STE 200
EDWARDSVILLE, IL 62025
Nurse Practitioner
3417 ANDERSON HEALTHCARE DR STE 200
EDWARDSVILLE, IL 62025
Family Medicine
3417 ANDERSON HEALTHCARE DR STE 200
EDWARDSVILLE, IL 62025
Family Medicine
3417 ANDERSON HEALTHCARE DR STE 200
EDWARDSVILLE, IL 62025
Nurse Practitioner (Family)
3417 ANDERSON HEALTHCARE DR STE 200
EDWARDSVILLE, IL 62025
Family Medicine
3417 ANDERSON HEALTHCARE DR STE 200
EDWARDSVILLE, IL 62025

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 Ayham Alkarmi's NPI number?

The NPI number for Ayham Alkarmi is 1194399139. It was assigned to this individual provider in the NPPES registry on May 14, 2021.

Where is Ayham Alkarmi located?

Ayham Alkarmi practices at 3417 Anderson Healthcare Dr Ste 200, Edwardsville, IL 62025. The listed phone number is (618) 288-8500.

What is Ayham Alkarmi's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Ayham Alkarmi enrolled in Medicare?

Yes. Ayham Alkarmi 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 organizations bill Medicare for Ayham Alkarmi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ayham Alkarmi reassigns Medicare benefits to 3 organizations: Anderson Medical Group, LLC (Maryville, IL), Ssm Health Care Group (Saint Louis, MO) and Osf Multi-Specialty Group (Peoria, IL). Each 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 Ayham Alkarmi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ayham Alkarmi accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield, Medica and Oscar Insurance Company list Ayham Alkarmi 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 Ayham Alkarmi affiliated with any hospitals?

According to CMS data, Ayham Alkarmi is affiliated with Osf Saint Anthony's Health Center and Anderson Hospital.

When was this NPI record last updated?

The NPPES record for Ayham Alkarmi was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.