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GHAITH AHMED ABDULKARIM M.D.
NPI 1295021236
Anesthesiology - Critical Care Medicine in New Haven, CT

Active since June 28, 2011PECOS EnrolledAccepts Medicare Assignment
73.56/100
CMS Quality Rating
333 CEDAR ST, NEW HAVEN, CT 06510(203) 785-2802(203) 785-6664 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 13, 2024, Jul 22, 2022, Jun 17, 2021 (3 updates tracked since 2021).

About Ghaith Ahmed Abdulkarim M.d. NPPES

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

GHAITH AHMED ABDULKARIM M.D. (NPI 1295021236) is an individual critical care medicine provider in New Haven, Connecticut, licensed in Connecticut (68191) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Medical Center/university Campus, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1295021236
Entity TypeIndividualMale
Primary Taxonomy207LC0200X
Provider Legal NameGHAITH AHMED ABDULKARIMCredential: M.D.
Location Address333 CEDAR STNew Haven, CT 06510-3206
Mailing AddressPo Box 843966Kansas City, MO 64184-3966 · (573) 882-3974 · Fax (573) 884-0943
Phone(203) 785-2802
Fax(203) 785-6664
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJune 28, 2011
Last NPPES UpdateSeptember 13, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2024
✔ NPI 1295021236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiology · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LC0200X
License✔ Licensed in CT · 68191
Definition
An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedAnesthesiologyTaxonomy 207L00000X · License 2016009653 (MO), 1020725 (MA)
333 CEDAR ST, New Haven, CT 06510
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11 Hospital DrColumbia, MO 65212-0001 · Phone (573) 882-3974 · Fax (573) 882-2226
Location 255 Lake Ave NWorcester, MA 01655-0002 · Phone (508) 856-3271 · Fax (508) 856-5911

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

Ghaith Ahmed Abdulkarim 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 ID8921371121
PECOS Enrollment IDI20170911001815, I20240830000297, I20250718003250
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 3

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.
44 services23 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
31 services14 patients
Insertion of artery tube for blood sampling or infusion through skin 36620
This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.
18 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

University Of Missouri Health Care

Acute Care Hospitals · Columbia, MO
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number260141
LocationOne Hospital DriveColumbia, MO 65212 · Boone County
Emergency services Birthing friendly

Inova Fairfax Hospital

Acute Care Hospitals · Falls Church, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490063
Location3300 Gallows RoadFalls Church, VA 22042 · Fairfax County
Emergency services Birthing friendly

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.

73.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.84
Promoting Interoperability74
Improvement Activities40
Cost51.43

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.

DR. BRIAN CHRISTOPHER CAMBI M.D.
Internal Medicine (Interventional Cardiology)
333 CEDAR ST, DCB 3
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-4129
MATTHEW JOSEPH MCCONNELL M.D.
Internal Medicine (Gastroenterology)
333 CEDAR ST, YNHH INTERNAL MEDICINE-GI,SECTION OF DIGESTIVE DISEASES
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-7012
DR. SRI SMITHA KANAPARTHY M.D.
Anesthesiology (Pediatric Anesthesiology)
333 CEDAR ST, TMP 3
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-2802
SUNDES KAZMIR M.D.
Student in an Organized Health Care Education/Training Program
333 CEDAR ST, YALE-NEW HAVEN HOSPITAL DEPARTMENT OF PEDIATRICS
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-1947
ANASTASIA KOPTELOVA MD
Anesthesiology
333 CEDAR ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-4242
ROBERT MCNAMARA MD
Internal Medicine (Cardiovascular Disease)
333 CEDAR ST, FMP 3
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-4127
DR. BRANDI PARKER COTTON APRN
Nurse Practitioner (Psychiatric/Mental Health)
333 CEDAR ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 432-1333
SARAH ELIZABETH SCHELLHORN MD
Internal Medicine (Medical Oncology)
333 CEDAR ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-4095

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 Ghaith Abdulkarim's NPI number?

The NPI number for Ghaith Abdulkarim is 1295021236. It was assigned to this individual provider in the NPPES registry on June 28, 2011.

Where is Ghaith Abdulkarim located?

Ghaith Abdulkarim practices at 333 Cedar St, New Haven, CT 06510. The listed phone number is (203) 785-2802.

What is Ghaith Abdulkarim's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Critical Care Medicine, with taxonomy code 207LC0200X.

Is Ghaith Abdulkarim enrolled in Medicare?

Yes. Ghaith Abdulkarim 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 Ghaith Abdulkarim accept?

Health plans from Medica list Ghaith Abdulkarim 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 Ghaith Abdulkarim affiliated with any hospitals?

According to CMS data, Ghaith Abdulkarim is affiliated with Umass Memorial Medical Center/University Campus, University Of Missouri Health Care and Inova Fairfax Hospital.

When was this NPI record last updated?

The NPPES record for Ghaith Abdulkarim was last updated on September 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.