DR. MICHAEL EMMANUEL KARELLAS M.D.
NPI 1376671396
Urology in New Haven, CT

Active since March 01, 2007PECOS EnrolledAccepts Medicare Assignment
73.56/100
CMS Quality Rating
800 HOWARD AVE, NEW HAVEN, CT 06519(203) 737-6959(203) 785-4043 Get Directions Write a Review

NPPES record last updated: June 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 12, 2023, Jan 19, 2023, Jan 13, 2017 (3 updates tracked since 2017).

About Dr. Michael Emmanuel Karellas M.d. NPPES

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

DR. MICHAEL EMMANUEL KARELLAS M.D. (NPI 1376671396) is an individual urology provider in New Haven, Connecticut, licensed in Connecticut (055043) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Chi St Alexius Health, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2001).

NPPES Registry Identity

NPI1376671396
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. MICHAEL EMMANUEL KARELLASCredential: M.D.
Location Address800 HOWARD AVENew Haven, CT 06519-1369
Mailing Address800 Howard AveNew Haven, CT 06519-1369 · (203) 737-6959 · Fax (203) 785-4043
Fax(203) 785-4043
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2001
Enumeration DateMarch 1, 2007
Last NPPES UpdateJune 12, 20233 updates tracked since enumeration
NPPES CertifiedJune 12, 2023
NPI 1376671396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses Licensed in CT · 055043 Licensed in NY · 60 241182 Licensed in NJ · 25MA08557100
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
800 HOWARD AVE, New Haven, CT 06519

Other Identifiers 2

Medicaid0199770NJ
OtherP00944510NJ · Rr Mcr Ptan

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

Dr. Michael Emmanuel Karellas 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 ID3072667849
PECOS Enrollment IDI20160511000716, I20260317001465
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 13

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.
777 services567 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
203 services203 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
100 services75 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
56 services52 patients
Biopsy of prostate gland 55700
A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.
47 services46 patients
Ultrasound scan of pelvic region through rectum 76872
An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.
45 services44 patients

Hospital Affiliations CMS Care Compare

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

Chi St Alexius Health

Acute Care Hospitals · Bismarck, ND
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number350002
Location900 E BroadwayBismarck, ND 58501 · Burleigh County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06519 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

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

Referred Medical Equipment & Supplies CMS DME claims 2

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

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
4 suppliers28 claims5,450 services$1.58 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
3 suppliers15 claims2,202 services$6.19 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.

Nurse Practitioner (Family)
800 HOWARD AVE
NEW HAVEN, CT 06519
Surgery
800 HOWARD AVE, YALE PHYSICIANS BLDG
NEW HAVEN, CT 06519
Nurse Practitioner
800 HOWARD AVE
NEW HAVEN, CT 06519
Internal Medicine (Medical Oncology)
800 HOWARD AVE, YALE PHYSICIANS BUILDING - 2ND FLOOR
NEW HAVEN, CT 06519
Clinical Nurse Specialist (Gerontology)
800 HOWARD AVE
NEW HAVEN, CT 06519
Physical Medicine & Rehabilitation
800 HOWARD AVE
NEW HAVEN, CT 06519
Psychologist (Clinical Child & Adolescent)
800 HOWARD AVE, YALE PHYSICIANS BLDG
NEW HAVEN, CT 06519
Psychiatry & Neurology (Neuromuscular Medicine)
800 HOWARD AVE
NEW HAVEN, CT 06519

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 Michael Karellas's NPI number?

The NPI number for Michael Karellas is 1376671396. It was assigned to this individual provider in the NPPES registry on March 1, 2007.

Where is Michael Karellas located?

Michael Karellas practices at 800 Howard Ave, New Haven, CT 06519. The listed phone number is (203) 737-6959.

What is Michael Karellas's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Michael Karellas enrolled in Medicare?

Yes. Michael Karellas 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 Michael Karellas affiliated with any hospitals?

According to CMS data, Michael Karellas is affiliated with Chi St Alexius Health.

When was this NPI record last updated?

The NPPES record for Michael Karellas was last updated on June 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.