KARIM AHMED PARACHA M.D.
NPI 1316128937
Surgery in East Setauket, NY

Active since November 26, 2007PECOS EnrolledAccepts Medicare Assignment
92.06/100
CMS Quality Rating
4 TECHNOLOGY DR, SUITE 240, EAST SETAUKET, NY 11733(631) 675-6865(631) 403-4737 Get Directions Write a Review

NPPES record last updated: May 5, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Karim Ahmed Paracha M.d. NPPES

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

KARIM AHMED PARACHA M.D. (NPI 1316128937) is an individual surgery provider in East Setauket, New York, licensed in New York (254899-1) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS, is affiliated with John T Mather Memorial Hospital Of Port Jefferson, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1316128937
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameKARIM AHMED PARACHACredential: M.D.
Location Address4 TECHNOLOGY DR, SUITE 240East Setauket, NY 11733-4080
Mailing Address4 Technology Dr, Suite 240East Setauket, NY 11733-4080 · (631) 675-6865 · Fax (631) 403-4737
Fax(631) 403-4737
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateNovember 26, 2007
Last NPPES UpdateMay 5, 2015
NPI 1316128937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in NY · 254899-1
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
4 TECHNOLOGY DR, East Setauket, NY 11733

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

Karim Ahmed Paracha 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 ID3072781624
PECOS Enrollment IDI20140625000209
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 26

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.

Amnioexcel, amnioexcel plus or biodexcel, per square centimeter Q4137
AmnioExcel and BioDExel are advanced wound care products. They are derived from human amniotic membrane and fluid, known for their healing properties. These products help in wound management by promoting tissue growth, reducing inflammation, and preventing scarring.
5,378 services13 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
387 services139 patients
Removal of skin and tissue, each additional 20.0 sq cm or less 11045
This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.
162 services14 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
111 services104 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
89 services26 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
86 services36 patients

Hospital Affiliations CMS Care Compare 3

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

St Catherine Of Siena Hospital Medical Center

Acute Care Hospitals · Smithtown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330401
Location50 Route 25ASmithtown, NY 11787 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11733 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
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.

92.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality92.21
Promoting Interoperability81
Improvement Activities40
Cost75.93

Reported Quality Measures

Documentation of Current Medications in the Medical Record
84%611 patients1/55-star benchmark: 100%
Patient-Centered Surgical Risk Assessment and Communication
100%62 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
76%225 patients3/55-star benchmark: 100%
Surgical Site Infection (SSI)
Lower rates are better for this measure.
0%217 patients
Unplanned Hospital Readmission within 30 Days of Principal Procedure
Lower rates are better for this measure.
2%104 patients4/55-star benchmark: 100%
Unplanned Reoperation within the 30 Day Postoperative Period
Lower rates are better for this measure.
4%212 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Obstetrics & Gynecology (Maternal & Fetal Medicine)
4 TECHNOLOGY DR, STONY BROOK UNIVERSITY PHYSICIANS
EAST SETAUKET, NY 11733
Obstetrics & Gynecology
4 TECHNOLOGY DR
EAST SETAUKET, NY 11733
Pediatrics (Pediatric Cardiology)
4 TECHNOLOGY DR, SUITE 250
EAST SETAUKET, NY 11733
Nurse Practitioner (Pediatrics)
4 TECHNOLOGY DR
EAST SETAUKET, NY 11733
Surgery
4 TECHNOLOGY DR, SUITE 220
EAST SETAUKET, NY 11733
Ophthalmology
4 TECHNOLOGY DR, SUITE 150
EAST SETAUKET, NY 11733
Ophthalmology
4 TECHNOLOGY DR, SUITE 150
EAST SETAUKET, NY 11733
Family Medicine (Adult Medicine)
4 TECHNOLOGY DR, SUITE 210
EAST SETAUKET, NY 11733

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 Karim Paracha's NPI number?

The NPI number for Karim Paracha is 1316128937. It was assigned to this individual provider in the NPPES registry on November 26, 2007.

Where is Karim Paracha located?

Karim Paracha practices at 4 Technology Dr Suite 240, East Setauket, NY 11733. The listed phone number is (631) 675-6865.

What is Karim Paracha's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Karim Paracha enrolled in Medicare?

Yes. Karim Paracha 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 Karim Paracha affiliated with any hospitals?

According to CMS data, Karim Paracha is affiliated with John T Mather Memorial Hospital Of Port Jefferson, St Charles Hospital and St Catherine Of Siena Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Karim Paracha was last updated on May 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.