GHALEB M KAROUNI MD
NPI 1326090283
Hospitalist in Dover, NH

Active since May 17, 2006PECOS EnrolledAccepts Medicare Assignment
789 CENTRAL AVE, DOVER, NH 03820(603) 740-2503 Get Directions Write a Review

NPPES record last updated: June 28, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 26, 2021, Dec 2, 2020 (2 updates tracked since 2020).

About Ghaleb M Karouni Md NPPES

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

GHALEB M KAROUNI MD (NPI 1326090283) is an individual hospitalist provider in Dover, New Hampshire, licensed in New Hampshire (12657) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with York Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1326090283
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameGHALEB M KAROUNICredential: MD
Location Address789 CENTRAL AVEDover, NH 03820-2526
Mailing Address5 Alumni Dr Fl 2Exeter, NH 03833-2128 · (603) 580-7525 · Fax (603) 580-7542
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMay 17, 2006
Last NPPES UpdateJune 28, 20222 updates tracked since enumeration
NPPES CertifiedJune 28, 2022
NPI 1326090283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in NH · 12657
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 12657 (NH)
789 CENTRAL AVE, Dover, NH 03820

Secondary Practice Locations 3

Location 13073 White Mountain HwyNorth Conway, NH 03860-7101 · Phone (603) 356-5461 ext. 2111 · Fax (603) 356-8741
Location 2333 Borthwick AvePortsmouth, NH 03801-7128 · Phone (603) 334-2039 · Fax (603) 433-5180
Location 35 Alumni Dr Fl 2Exeter, NH 03833-2128 · Phone (603) 580-7525 · Fax (603) 580-7542

Other Identifiers 4

Medicaid142350006ME
Medicaid3073163NH
Other01Y008845NH01NH · Bcbs Pin #
Other020470410NH · Tax Id

Accepted 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

Ghaleb M Karouni Md 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 ID3173541711
PECOS Enrollment IDI20051102000954
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
551 services262 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.
355 services197 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
255 services246 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
122 services121 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.
14 services14 patients
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.
13 services12 patients

Hospital Affiliations CMS Care Compare 5

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

York Hospital

Acute Care Hospitals · York, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200020
Location15 Hospital DriveYork, ME 03909 · York County
Emergency services Birthing friendly

Frisbie Memorial Hospital

Acute Care Hospitals · Rochester, NH
2/5 CMS rating
OwnershipProprietary
CMS Certification Number300014
Location11 Whitehall RoadRochester, NH 03867 · Strafford County
Emergency services

Parkland Medical Center

Acute Care Hospitals · Derry, NH
5/5 CMS rating
OwnershipProprietary
CMS Certification Number300017
Location1 Parkland DriveDerry, NH 03038 · Rockingham County
Emergency services

Exeter Hospital Inc

Acute Care Hospitals · Exeter, NH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300023
Location5 Alumni DriveExeter, NH 03833 · Rockingham County
Emergency services Birthing friendly

Portsmouth Regional Hospital

Acute Care Hospitals · Portsmouth, NH
3/5 CMS rating
OwnershipProprietary
CMS Certification Number300029
Location333 Borthwick AvePortsmouth, NH 03801 · Rockingham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03820 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
$132.09 typical visit price
range $57.75 – $174.26
Typical copayment $33.02 (range $14.43 – $43.56)
Most-billed visit code 99204
Established Patient
$101.54 typical visit price
range $18.70 – $142.15
Typical copayment $25.38 (range $4.67 – $35.53)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
99%330 patients4/55-star benchmark: 100%
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.

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers11 claims11 services$76.67 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 20

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

Hospitalist
789 CENTRAL AVE
DOVER, NH 03820
Nurse Anesthetist, Certified Registered
789 CENTRAL AVE
DOVER, NH 03820
Anesthesiology (Pain Medicine)
789 CENTRAL AVE
DOVER, NH 03820
Specialist
789 CENTRAL AVE
DOVER, NH 03820
Nurse Practitioner (Neonatal)
789 CENTRAL AVE
DOVER, NH 03820
Nurse Practitioner
789 CENTRAL AVE
DOVER, NH 03820
Durable Medical Equipment & Medical Supplies
789 CENTRAL AVE
DOVER, NH 03820
Registered Nurse (Maternal Newborn)
789 CENTRAL AVE
DOVER, NH 03820

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 Ghaleb Karouni's NPI number?

The NPI number for Ghaleb Karouni is 1326090283. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Ghaleb Karouni located?

Ghaleb Karouni practices at 789 Central Ave, Dover, NH 03820. The listed phone number is (603) 740-2503.

What is Ghaleb Karouni's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Ghaleb Karouni enrolled in Medicare?

Yes. Ghaleb Karouni 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 Ghaleb Karouni accept?

Health plans from WellSense Health Plan list Ghaleb Karouni 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 Ghaleb Karouni affiliated with any hospitals?

According to CMS data, Ghaleb Karouni is affiliated with York Hospital, Frisbie Memorial Hospital, Parkland Medical Center, Exeter Hospital Inc and Portsmouth Regional Hospital.

When was this NPI record last updated?

The NPPES record for Ghaleb Karouni was last updated on June 28, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.