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ERFAN KARIM M.D.
NPI 1316472863
Family Medicine in Prattville, AL

Active since April 21, 2017PECOS EnrolledAccepts Medicare Assignment
1840 E MAIN ST, PRATTVILLE, AL 36066(334) 595-8610(334) 595-8961 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 4, 2025, Dec 18, 2024, Nov 13, 2020 and 1 more (4 updates tracked since 2017).

About Erfan Karim M.d. NPPES

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

ERFAN KARIM M.D. (NPI 1316472863) is an individual family medicine provider in Prattville, Alabama, licensed in Alabama (MD.41633) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1316472863
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameERFAN KARIMCredential: M.D.
Location Address1840 E MAIN STPrattville, AL 36066-5500
Mailing Address1722 Pine St Ste 203Montgomery, AL 36106-1158 · (334) 293-8736 · Fax (334) 293-8738
Phone(334) 595-8610
Fax(334) 595-8961
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 21, 2017
Last NPPES UpdateJune 4, 20254 updates tracked since enumeration
NPPES CertifiedJune 4, 2025
✔ NPI 1316472863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AL · MD.41633
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1840 E MAIN ST, Prattville, AL 36066
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11840 E Main StPrattville, AL 36066 · Phone (334) 595-8610 · Fax (334) 595-8611
Location 21509 6TH AVE SBIRMINGHAM, AL 35233-1601 · Phone (205) 930-3200 · Fax (205) 521-5526

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.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

Erfan Karim 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 ID648545160
PECOS Enrollment IDI20210316001328
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 7

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.
91 services48 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
39 services23 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
37 services35 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
34 services32 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test 85027
A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.
31 services29 patients
Urine microalbumin (protein) level 82043
The urine microalbumin level test measures the amount of a protein called albumin in your urine. This test helps to detect early signs of kidney damage. High levels of albumin may suggest your kidneys aren't functioning properly. It's a simple, non-invasive test that involves providing a urine sample.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36066 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers38 claims38 services$5.22 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ABBY LEA HARRIS M.D.
Family Medicine
1840 E MAIN ST
PRATTVILLE, AL 36066
Autauga County (334) 595-8610
PRI MED PHYSICIANS, INC
Family Medicine
1840 E MAIN ST
PRATTVILLE, AL 36066
Autauga County (334) 323-4000
JACKSON HOSPITAL AND CLINIC, INC.
Specialist
1840 E MAIN ST
PRATTVILLE, AL 36066
Autauga County (334) 293-8736

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 Erfan Karim's NPI number?

The NPI number for Erfan Karim is 1316472863. It was assigned to this individual provider in the NPPES registry on April 21, 2017.

Where is Erfan Karim located?

Erfan Karim practices at 1840 E Main St, Prattville, AL 36066. The listed phone number is (334) 595-8610.

What is Erfan Karim's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Erfan Karim enrolled in Medicare?

Yes. Erfan Karim 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 Erfan Karim accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 1 other insurer list Erfan Karim 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.

When was this NPI record last updated?

The NPPES record for Erfan Karim was last updated on June 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.