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DR. MOHAMMAD SHAUKAT KARIM MD
NPI 1225008618
Internal Medicine in Middleburg Heights, OH

Active since January 26, 2006PECOS EnrolledAccepts Medicare Assignment
90.9/100
CMS Quality Rating
7255 OLD OAK BLVD, C-408, MIDDLEBURG HEIGHTS, OH 44130(440) 414-9500(216) 201-5590 Get Directions Write a Review

NPPES record last updated: January 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 7, 2021, Apr 6, 2020, Apr 16, 2019 (3 updates tracked since 2019).

About Dr. Mohammad Shaukat Karim Md NPPES

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

DR. MOHAMMAD SHAUKAT KARIM MD (NPI 1225008618) is an individual internal medicine provider in Middleburg Heights, Ohio, licensed in Ohio (35081305) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Parma Community General Hospital, and is a graduate of Other (1977).

NPPES Registry Identity

NPI1225008618
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MOHAMMAD SHAUKAT KARIMCredential: MD
Location Address7255 OLD OAK BLVD, C-408Middleburg Heights, OH 44130-3329
Mailing Address7255 Old Oak Blvd, C-408Middleburg Heights, OH 44130-3329 · (440) 414-9500 · Fax (216) 201-5590
Phone(440) 414-9500
Fax(216) 201-5590
Sole ProprietorNo
Medical School CMSOtherGraduated 1977
Enumeration DateJanuary 26, 2006
Last NPPES UpdateJanuary 7, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2021
✔ NPI 1225008618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35081305
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.
7255 OLD OAK BLVD, Middleburg Heights, OH 44130
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Other Identifiers 4

Other000000244532OH · Anthem
Medicaid2345153OH
Other110241842Railroad Medicare
Other727OH · Summa

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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. Mohammad Shaukat Karim 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 ID8022910900
PECOS Enrollment IDI20040122000035
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 6

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.
163 services144 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.
146 services101 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.
33 services33 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
14 services13 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
14 services13 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Parma Community General Hospital

Acute Care Hospitals · Parma, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360041
Location7007 Powers BoulevardParma, OH 44129 · Cuyahoga County

Uh Cleveland Medical Center

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360137
Location11100 Euclid AvenueCleveland, OH 44106 · Cuyahoga County
Emergency services Birthing friendly

Southwest General Health Center

Acute Care Hospitals · Middleburg Heights, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360155
Location18697 Bagley RoadMiddleburg Heights, OH 44130 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44130 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

90.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.8
Promoting Interoperability100
Improvement Activities40

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
7 suppliers24 claims83 services$6.59 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.

SURESH KUMAR MAHAJAN M.D.
Internal Medicine (Gastroenterology)
7255 OLD OAK BLVD, C101
CLEVELAND, OH 44130
Cuyahoga County (440) 816-2789
MARY K PALLOTTA CNP, MSN
Nurse Practitioner (Primary Care)
7255 OLD OAK BLVD
MIDDLEBURG HEIGHTS, OH 44130
Cuyahoga County (440) 816-2525
MR. SUNIL C KANSAL MD
Internal Medicine
7255 OLD OAK BLVD, C 302
MIDDLEBURG HTS, OH 44130
Cuyahoga County (440) 243-1616
MR. DENNIS J CIGANY LPT
Physical Therapist
7255 OLD OAK BLVD, C405
MIDDLEBURG HTS, OH 44130
Cuyahoga County (440) 816-5380
OHIO CHEST PHYSICIANS LTD
Internal Medicine (Pulmonary Disease)
7255 OLD OAK BLVD
MIDDLEBURG HEIGHTS, OH 44130
Cuyahoga County (440) 826-3030
MR. KEVIN JOHN POWERS PT
Physical Therapist
7255 OLD OAK BLVD, C405
MIDDLEBURG HTS, OH 44130
Cuyahoga County (440) 816-5380
TRILOK SHARMA MD
Internal Medicine (Cardiovascular Disease)
7255 OLD OAK BLVD, C208
MIDDLEBURG HEIGHTS, OH 44130
Cuyahoga County (440) 816-2708
KIMBERLY KRAUS MD
Obstetrics & Gynecology
7255 OLD OAK BLVD, SUITE C 112
MIDDLEBURG HEIGHTS, OH 44130
Cuyahoga County (440) 816-5333

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 Mohammad Karim's NPI number?

The NPI number for Mohammad Karim is 1225008618. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Where is Mohammad Karim located?

Mohammad Karim practices at 7255 Old Oak Blvd C-408, Middleburg Heights, OH 44130. The listed phone number is (440) 414-9500.

What is Mohammad Karim's specialty?

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

Is Mohammad Karim enrolled in Medicare?

Yes. Mohammad Karim 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.

What insurance does Mohammad Karim accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and CareSource and 1 other insurer list Mohammad Karim 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 Mohammad Karim affiliated with any hospitals?

According to CMS data, Mohammad Karim is affiliated with Parma Community General Hospital, Uh Cleveland Medical Center and Southwest General Health Center.

When was this NPI record last updated?

The NPPES record for Mohammad Karim was last updated on January 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.