GHAITH AHMED ABDULKARIM M.D.
NPI 1295021236
Anesthesiology - Critical Care Medicine in New Haven, CT
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
Specialties & Licenses 2
Secondary Practice Locations 2
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
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.
Medicare Billing Reassignments
4Medicare enrollment records show Ghaith Abdulkarim reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Oxford, MA 01540
- Reassigned Medicare billing, Massachusetts enrollment
- 2,902 clinicians in this Medicare group
Alexandria, VA 22306
- Reassigned Medicare billing, District of Columbia and Virginia enrollments
- 634 clinicians in this Medicare group
Falls Church, VA 22042
- Reassigned Medicare billing, District of Columbia enrollment
- 167 clinicians in this Medicare group
Columbia, MO 65212
- Reassigned Medicare billing, Missouri enrollment
- 1,395 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.
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.
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, MAUniversity Of Missouri Health Care
Acute Care Hospitals · Columbia, MOInova Fairfax Hospital
Acute Care Hospitals · Falls Church, VAMedicare 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.
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.
NEW HAVEN, CT 06510
NEW HAVEN, CT 06510
NEW HAVEN, CT 06510
NEW HAVEN, CT 06510
NEW HAVEN, CT 06510
NEW HAVEN, CT 06510
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.
Which organizations bill Medicare for Ghaith Abdulkarim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ghaith Abdulkarim reassigns Medicare benefits to 4 organizations: Umass Memorial Medical Group, Inc. (Oxford, MA), Northstar Anesthesia Of Virginia, LLC (Alexandria, VA), Inova Health Care Services (Falls Church, VA) and The Curators Of The University Of Missouri (Columbia, MO). 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 Ghaith Abdulkarim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ghaith Abdulkarim accept?
Health plans from Anthem Blue Cross and Blue Shield and Taro Health 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 2 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.
# Ghaith Ahmed Abdulkarim, M.D. · NPI 1295021236
Critical Care Medicine physician in New Haven, Connecticut. Individual provider, active in the CMS NPPES registry since June 28, 2011.
## Identity
- **NPI:** 1295021236 (Entity type: Individual)
- **Enumerated:** June 28, 2011
- **Primary specialty:** Anesthesiology - Critical Care Medicine · taxonomy 207LC0200X
- **State license:** 68191 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 333 CEDAR ST, New Haven, CT 06510-3206
- **Phone:** (203) 785-2802 · **Fax:** (203) 785-6664
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Umass Memorial Medical Group, Inc. (NPI 1982381018, Oxford, MA); Northstar Anesthesia Of Virginia, LLC (NPI 1194488791, Alexandria, VA); Inova Health Care Services (NPI 1952320061, Falls Church, VA); The Curators Of The University Of Missouri (NPI 1235126921, Columbia, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** September 13, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1295021236) · Data from the CMS NPPES public registry.