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DR. ALI S KARAKURUM
NPI 1275570285
Internal Medicine - Gastroenterology in Port Jefferson, NY

Active since May 31, 2006PECOS EnrolledAccepts Medicare Assignment
15.16/100
CMS Quality Rating
70 N COUNTRY RD, SUITE-201, PORT JEFFERSON, NY 11777(631) 331-0200(631) 331-0202 Get Directions Write a Review

NPPES record last updated: September 13, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ali S Karakurum NPPES

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

DR. ALI S KARAKURUM (NPI 1275570285) is an individual gastroenterology provider in Port Jefferson, New York, licensed in New York (185973) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with John T Mather Memorial Hospital Of Port Jefferson, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1275570285
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. ALI S KARAKURUM
Location Address70 N COUNTRY RD, SUITE-201Port Jefferson, NY 11777-2161
Mailing Address70 N Country Rd, Suite-201Port Jefferson, NY 11777-2161 · (631) 331-0200 · Fax (631) 331-0202
Phone(631) 331-0200
Fax(631) 331-0202
Sole ProprietorYes
Medical School CMSOtherGraduated 1986
Enumeration DateMay 31, 2006
Last NPPES UpdateSeptember 13, 2012
✔ NPI 1275570285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NY · 185973
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
70 N COUNTRY RD, Port Jefferson, NY 11777
Open in Google Maps ↗

Other Identifiers 2

Medicare PINA400011971NY
Medicare UPINF74233NY

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. Ali S Karakurum 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 ID4183691835
PECOS Enrollment IDI20040913001213
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 10

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 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.
423 services302 patients
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.
227 services172 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
126 services124 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
83 services83 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
58 services58 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
51 services51 patients

Hospital Affiliations CMS Care Compare 2

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

John T Mather Memorial Hospital Of Port Jefferson

Acute Care Hospitals · Port Jefferson, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330185
Location75 North Country RoadPort Jefferson, NY 11777 · Suffolk County
Emergency services

St Charles Hospital

Acute Care Hospitals · Port Jefferson, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330246
Location200 Belle Terre RoadPort Jefferson, NY 11777 · Suffolk County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11777 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

15.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost50.55

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.

MRS. LAURA A RAYMOND PT, CHT
Physical Therapist
70 N COUNTRY RD, SUITE 103
PORT JEFFERSON, NY 11777
Suffolk County (631) 331-3608
DR. RHONDA S BURMEISTER DO
Family Medicine
70 N COUNTRY RD, SUITE 105
PORT JEFFERSON, NY 11777
Suffolk County (631) 642-0609
PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY, P.C.
Physical Therapist
70 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 474-4096
FRANK P LUNATI JR. MD
Surgery
70 N COUNTRY RD, STE 201
PORT JEFFERSON, NY 11777
Suffolk County (631) 403-4310
MARKELLA MICHAEL CHRISTAKIS M.D.
Surgery
70 N COUNTRY RD, SUITE 201
PORT JEFFERSON, NY 11777
Suffolk County (631) 403-4310
NORTH SHORE PROCEDURES, LLC
Clinic/Center (Endoscopy)
70 N COUNTRY RD, SUITE 201
PORT JEFFERSON, NY 11777
Suffolk County (631) 331-0200
MARITZA LASTRA GROTH MD
Internal Medicine (Pulmonary Disease)
70 N COUNTRY RD, SUITE 101
PORT JEFFERSON, NY 11777
Suffolk County (631) 473-0037
FRANK P LUNATI JR MD PC
Surgery
70 N COUNTRY RD, SUITE 201
PORT JEFFERSON, NY 11777
Suffolk County (631) 403-4310

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 Ali Karakurum's NPI number?

The NPI number for Ali Karakurum is 1275570285. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is Ali Karakurum located?

Ali Karakurum practices at 70 N Country Rd Suite-201, Port Jefferson, NY 11777. The listed phone number is (631) 331-0200.

What is Ali Karakurum's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Ali Karakurum enrolled in Medicare?

Yes. Ali Karakurum 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 Ali Karakurum affiliated with any hospitals?

According to CMS data, Ali Karakurum is affiliated with John T Mather Memorial Hospital Of Port Jefferson and St Charles Hospital.

When was this NPI record last updated?

The NPPES record for Ali Karakurum was last updated on September 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.