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PHILIP J KARANIAN MD
NPI 1437136132
Internal Medicine in West Hartford, CT

Active since December 23, 2005PECOS EnrolledAccepts Medicare Assignment
20 ISHAM RD, SUITE 150, WEST HARTFORD, CT 06107(860) 522-6118(860) 246-0122 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 7, 2023, Jun 18, 2021 (2 updates tracked since 2021).

About Philip J Karanian Md NPPES

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

PHILIP J KARANIAN MD (NPI 1437136132) is an individual internal medicine provider in West Hartford, Connecticut, licensed in Connecticut (029480) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1437136132
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePHILIP J KARANIANCredential: MD
Location Address20 ISHAM RD, SUITE 150West Hartford, CT 06107-2204
Mailing Address30 Jordan LnWethersfield, CT 06109-1278 · (860) 263-0253 · Fax (860) 263-0262
Phone(860) 522-6118
Fax(860) 246-0122
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateDecember 23, 2005
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
NPPES CertifiedJune 18, 2021
✔ NPI 1437136132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CT · 029480
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
20 ISHAM RD, West Hartford, CT 06107
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Other Identifiers 3

Medicaid001294800CT
Other010029480CT01CT · Bcbs
Other029480CT · Medical License

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

Philip J Karanian 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 ID5799874558
PECOS Enrollment IDI20091203000370
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 8

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.
331 services164 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
152 services152 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.
124 services85 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
48 services47 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
47 services47 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
43 services43 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06107 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
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers23 claims52 services$5.34 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers16 claims17 services$0.87 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
1 supplier11 claims550 services$0.19 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
1 supplier11 claims550 services$0.19 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$175.34 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 6

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

DR. GREGORY C WALSH MD
Internal Medicine
20 ISHAM RD, SUITE 150
WEST HARTFORD, CT 06107
Capitol Planning Region (860) 527-1669
MS. LISA PATRICIA HUGHES MS, ATC-L, LMT
Specialist/Technologist (Athletic Trainer)
20 ISHAM RD
WEST HARTFORD, CT 06107
Capitol Planning Region (860) 761-1083
MISS MARIE ELIZABETH BURTON
Nurse Practitioner (Adult Health)
20 ISHAM RD
WEST HARTFORD, CT 06107
Capitol Planning Region (860) 527-1669
DR. MATTHEW F COLLITON MD
Internal Medicine
20 ISHAM RD, SUITE 150
WEST HARTFORD, CT 06107
Capitol Planning Region (860) 527-1669
LISA ANNE KNOLL APRN
Nurse Practitioner (Primary Care)
20 ISHAM RD
WEST HARTFORD, CT 06107
Capitol Planning Region (860) 527-1669
ROLF KNOLL MD
Internal Medicine
20 ISHAM RD, SUITE 150
WEST HARTFORD, CT 06107
Capitol Planning Region (860) 527-1669

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 Philip Karanian's NPI number?

The NPI number for Philip Karanian is 1437136132. It was assigned to this individual provider in the NPPES registry on December 23, 2005.

Where is Philip Karanian located?

Philip Karanian practices at 20 Isham Rd Suite 150, West Hartford, CT 06107. The listed phone number is (860) 522-6118.

What is Philip Karanian's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Philip Karanian enrolled in Medicare?

Yes. Philip Karanian 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.

When was this NPI record last updated?

The NPPES record for Philip Karanian was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.