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KARAM AL-ISSA M.D.
NPI 1720468259
Internal Medicine - Hematology & Oncology in Indianapolis, IN

Active since May 29, 2015PECOS EnrolledAccepts Medicare Assignment
28.67/100
CMS Quality Rating
535 BARNHILL DR, INDIANAPOLIS, IN 46202(317) 948-6942 Get Directions Write a Review

NPPES record last updated: September 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 27, 2021, Oct 5, 2020, Aug 29, 2019 (3 updates tracked since 2019).

About Karam Al-issa M.d. NPPES

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

KARAM AL-ISSA M.D. (NPI 1720468259) is an individual hematology & oncology provider in Indianapolis, Indiana, licensed in Indiana (01080058A) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1720468259
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameKARAM AL-ISSACredential: M.D.
Location Address535 BARNHILL DRIndianapolis, IN 46202-5116
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Phone(317) 948-6942
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateMay 29, 2015
Last NPPES UpdateSeptember 27, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2021
✔ NPI 1720468259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in IN · 01080058A
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License 01080058A (IN)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
535 BARNHILL DR, Indianapolis, IN 46202
Open in Google Maps ↗

Secondary Practice Locations 2

Location 19500 Euclid AveCleveland, OH 44195-0001 · Phone (216) 444-2200
Location 211725 Illinois St Ste 565Carmel, IN 46032-3011 · Phone (317) 688-5250

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Karam Al-issa 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 ID941502066
PECOS Enrollment IDI20201006003202
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 9

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.
318 services157 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
215 services32 patients
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.
196 services71 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.
191 services65 patients
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.
88 services48 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.
82 services73 patients

Hospital Affiliations CMS Care Compare 3

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

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Indiana University Health North Hospital

Acute Care Hospitals · Carmel, IN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150161
Location11700 N Meridian StCarmel, IN 46032 · Hamilton County
Emergency services Birthing friendly

Indiana University Health Tipton Hospital Inc

Critical Access Hospitals · Tipton, IN
OwnershipVoluntary non-profit - Other
CMS Certification Number151311
Location1000 S Main StTipton, IN 46072 · Tipton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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
$161.76 typical visit price
range $53.07 – $161.76
Typical copayment $40.44 (range $13.26 – $40.44)
Most-billed visit code 99205
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

28.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost95.58

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.

DR. ANTON ALEXI CABELLON D.O.
Internal Medicine (Nephrology)
535 BARNHILL DR, RT 150
INDIANAPOLIS, IN 46202
Marion County (317) 948-0728
LINDA BATTIATO
Registered Nurse
535 BARNHILL DR
INDIANAPOLIS, IN 46202
Marion County (317) 278-6489
CHRISTIAN JON NELSON PHD
Psychologist (Clinical)
535 BARNHILL DR
INDIANAPOLIS, IN 46202
Marion County (317) 948-2538
AMANJOT SINGH SETHI M.D.
Specialist
535 BARNHILL DR, SUITE 420
INDIANAPOLIS, IN 46202
Marion County (317) 278-1979
DR. ANITA AHMED TURK M.D.
Internal Medicine (Hematology & Oncology)
535 BARNHILL DR
INDIANAPOLIS, IN 46202
Marion County (317) 274-0335
JENNIFER MARIE KING MD
Internal Medicine (Hematology & Oncology)
535 BARNHILL DR
INDIANAPOLIS, IN 46202
Marion County (317) 944-0920
NANCY CAROL ISSA MD
Internal Medicine (Hematology & Oncology)
535 BARNHILL DR
INDIANAPOLIS, IN 46202
Marion County (317) 948-6942
BETH A KIRSCH RDN, CSO, LD
Dietitian, Registered (Nutrition, Oncology)
535 BARNHILL DR
INDIANAPOLIS, IN 46202
Marion County (317) 440-6242

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 Karam Al-issa's NPI number?

The NPI number for Karam Al-issa is 1720468259. It was assigned to this individual provider in the NPPES registry on May 29, 2015.

Where is Karam Al-issa located?

Karam Al-issa practices at 535 Barnhill Dr, Indianapolis, IN 46202. The listed phone number is (317) 948-6942.

What is Karam Al-issa's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Karam Al-issa enrolled in Medicare?

Yes. Karam Al-issa 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 Karam Al-issa accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list Karam Al-issa 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 Karam Al-issa affiliated with any hospitals?

According to CMS data, Karam Al-issa is affiliated with Indiana University Health, Indiana University Health North Hospital and Indiana University Health Tipton Hospital Inc.

When was this NPI record last updated?

The NPPES record for Karam Al-issa was last updated on September 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.