KATHY KARAMLOU MD
NPI 1740209303
Internal Medicine - Rheumatology in Newport Beach, CA

Active since July 18, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
361 HOSPITAL RD STE 428, NEWPORT BEACH, CA 92663(949) 631-6500(949) 631-9700 Get Directions Write a Review

NPPES record last updated: March 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kathy Karamlou Md NPPES

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

KATHY KARAMLOU MD (NPI 1740209303) is an individual rheumatology provider in Newport Beach, California, licensed in California (A72397) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (1998).

NPPES Registry Identity

NPI1740209303
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameKATHY KARAMLOUCredential: MD
Location Address361 HOSPITAL RD STE 428Newport Beach, CA 92663-3525
Mailing AddressPo Box 5688Irvine, CA 92616-5688 · (949) 631-6500 · Fax (949) 631-9700
Fax(949) 631-9700
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 1998
Enumeration DateJuly 18, 2006
Last NPPES UpdateMarch 23, 2021
NPPES CertifiedMarch 23, 2021
NPI 1740209303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in CA · A72397
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
361 HOSPITAL RD STE 428, Newport Beach, CA 92663

Other Identifiers 3

Other00A723970CA · Medi-cal
OtherW21789CA · Medicare Group Ptan
OtherWA72397CCA · Medicare Individual 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

Kathy Karamlou 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 ID4082502497
PECOS Enrollment IDI20040308000939
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 12

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.

Injection, tocilizumab, 1 mg J3262
Tocilizumab is a medication administered via injection. It's used to treat certain conditions like rheumatoid arthritis by reducing inflammation in the body. It works by blocking a substance in the body that leads to inflammation.
64,360 services14 patients
Injection, romosozumab-aqqg, 1 mg J3111
Romosozumab-aqqg is a medication given by injection to treat osteoporosis in patients at high risk for fractures. It works by increasing bone mass and strength, reducing the risk of fractures.
25,410 services19 patients
Injection, golimumab, 1 mg, for intravenous use J1602
Golimumab is a medication given through an IV (a small tube in your vein). It helps to reduce inflammation and pain by blocking a protein in your body that causes inflammation. It's often used to treat conditions like rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis.
23,450 services27 patients
Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0129
Abatacept is a medication administered via injection under a doctor's supervision. It's used to treat conditions like rheumatoid arthritis by moderating the immune system. This code applies when the doctor administers the drug, not for self-administration.
7,550 services12 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
2,700 services26 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.
1,444 services523 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92663 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

Chiropractor
361 HOSPITAL RD STE 428
NEWPORT BEACH, CA 92663
Internal Medicine (Rheumatology)
361 HOSPITAL RD STE 428
NEWPORT BEACH, CA 92663
Physician Assistant
361 HOSPITAL RD STE 428
NEWPORT BEACH, CA 92663
Nurse Practitioner (Adult Health)
361 HOSPITAL RD STE 428
NEWPORT BEACH, CA 92663
Physical Medicine & Rehabilitation
361 HOSPITAL RD STE 428
NEWPORT BEACH, CA 92663

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 Kathy Karamlou's NPI number?

The NPI number for Kathy Karamlou is 1740209303. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Kathy Karamlou located?

Kathy Karamlou practices at 361 Hospital Rd Ste 428, Newport Beach, CA 92663. The listed phone number is (949) 631-6500.

What is Kathy Karamlou's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Kathy Karamlou enrolled in Medicare?

Yes. Kathy Karamlou 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 Kathy Karamlou was last updated on March 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.