1. Home
  2. Directory
  3. Arizona
  4. Phoenix
  5. Emergency Medicine
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. KARL YOUSEF M.D.
NPI 1225561384
Emergency Medicine - Emergency Medical Services in Phoenix, AZ

Active since April 06, 2017PECOS EnrolledAccepts Medicare Assignment
89.55/100
CMS Quality Rating
4212 N 16TH ST, PHOENIX, AZ 85016(602) 263-1200(602) 263-1619 Get Directions Write a Review

NPPES record last updated: September 2, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 2, 2026, Apr 11, 2024, Jul 17, 2020 and 1 more (4 updates tracked since 2020).

About Dr. Karl Yousef M.d. NPPES

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

DR. KARL YOUSEF M.D. (NPI 1225561384) is an individual emergency medical services provider in Phoenix, Arizona, licensed in Arizona (75308) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with University Medical Center Of El Paso, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1225561384
Entity TypeIndividualMale
Primary Taxonomy207PE0004X
Provider Legal NameDR. KARL YOUSEFCredential: M.D.
Location Address4212 N 16TH STPhoenix, AZ 85016-5319
Mailing AddressPo Box 95460Cleveland, OH 44101-0033 · (602) 581-6076 · Fax (602) 263-1619
Phone(602) 263-1200
Fax(602) 263-1619
Sole ProprietorNo
Medical School CMSUniversity Of Arizona College Of MedicineGraduated 2017
Enumeration DateApril 6, 2017
Last NPPES UpdateSeptember 2, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2026
✔ NPI 1225561384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
License✔ Licensed in AZ · 75308
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 01083592A (IN), S5811 (TX)
4212 N 16TH ST, Phoenix, AZ 85016
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1100 E Commercial BlvdFort Lauderdale, FL 33334-1687 · Phone (954) 351-0202
Location 21611 NW 12th Ave, Unit 370Miami, FL 33136-1005 · Phone (310) 699-2553
Location 34815 Alameda AveEl Paso, TX 79905-2705 · Phone (915) 215-4600 · Fax (915) 545-7338

Other Identifiers 2

Medicaid117535000FL
OtherME141555FL · State Medical License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 22 Health, Ambetter Health, Ambetter of Alabama and more.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. Karl Yousef 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 ID6305267469
PECOS Enrollment IDI20200609001789, I20250318003095
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

4

Medicare enrollment records show Karl Yousef reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

District Medical Group, Inc
3.0 mi
Surgery
2525 E ROOSEVELT ST, MED CLINIC - INFECTIOUS DISEASE
Phoenix, AZ 85008
  • Reassigned Medicare billing, Arizona enrollment
  • 1,490 clinicians in this Medicare group
NPI 1174856280 (602) 344-1095
Cep America - Arizona PC
13 mi
Emergency Medicine
1400 S DOBSON RD
Mesa, AZ 85202
  • Reassigned Medicare billing, Arizona enrollment
  • 174 clinicians in this Medicare group
NPI 1356021190 (480) 412-3000
Texas Tech University Health Sciences Center
338 mi
Surgery
2000 B TRANSMOUNTAIN ROAD
El Paso, TX 79911
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Texas Tech University Health Sciences Center El Paso
  • 856 clinicians in this Medicare group
NPI 1083167134 (915) 215-5626
Cep America LLC
345 mi
Emergency Medicine
4669 COHEN AVE
El Paso, TX 79924
  • Reassigned Medicare billing, Texas enrollment
  • 87 clinicians in this Medicare group
NPI 1134761331 (915) 544-1200

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 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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
34 services31 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

University Medical Center Of El Paso

Acute Care Hospitals · El Paso, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450024
Location4815 Alameda AveEl Paso, TX 79905 · El Paso County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85016 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

89.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.45
Improvement Activities40
Cost100

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.

WENDY RAZO
Registered Nurse (Obstetric, High-Risk)
4212 N 16TH ST
PHOENIX, AZ 85016
Maricopa County (602) 263-1200
THOMAS RYAN HALL RN
Registered Nurse
4212 N 16TH ST
PHOENIX, AZ 85016
Maricopa County (602) 263-1200
DR. UMAR IQBAL M.D.
Family Medicine
4212 N 16TH ST
PHOENIX, AZ 85016
Maricopa County (602) 263-1200
SHARLA LOUISE WYATT RN
Registered Nurse
4212 N 16TH ST
PHOENIX, AZ 85016
Maricopa County (602) 263-1200
KATELYN WENTWORTH PELTIER PHARMD
Pharmacist
4212 N 16TH ST
PHOENIX, AZ 85016
Maricopa County (602) 263-1200
LAURA MOLANDER
Pharmacist
4212 N 16TH ST
PHOENIX, AZ 85016
Maricopa County (602) 263-1200
DR. ADEL M SALAMA M.D.
Internal Medicine
4212 N 16TH ST
PHOENIX, AZ 85016
Maricopa County (602) 263-1200
ANCITA BIGMAN RN
Registered Nurse
4212 N 16TH ST
PHOENIX, AZ 85016
Maricopa County (602) 263-1511

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 Karl Yousef's NPI number?

The NPI number for Karl Yousef is 1225561384. It was assigned to this individual provider in the NPPES registry on April 6, 2017.

Where is Karl Yousef located?

Karl Yousef practices at 4212 N 16th St, Phoenix, AZ 85016. The listed phone number is (602) 263-1200.

What is Karl Yousef's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Is Karl Yousef enrolled in Medicare?

Yes. Karl Yousef 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 Karl Yousef's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karl Yousef reassigns Medicare benefits to 4 organizations: District Medical Group, Inc (Phoenix, AZ), Cep America - Arizona PC (Mesa, AZ), Texas Tech University Health Sciences Center (El Paso, TX) and Cep America LLC (El Paso, TX). 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 Karl Yousef's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karl Yousef accept?

Health plans from 22 Health, Ambetter Health, Ambetter of Alabama, Blue Cross Blue Shield of Arizona and Cigna HealthCare of Arizona, Inc and 4 other insurers list Karl Yousef 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 Karl Yousef affiliated with any hospitals?

According to CMS data, Karl Yousef is affiliated with University Medical Center Of El Paso.

When was this NPI record last updated?

The NPPES record for Karl Yousef was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 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.