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DR. KAREN JAMES MD
NPI 1740504547
Pediatrics - Pediatric Rheumatology in Philadelphia, PA

Active since March 23, 2010PECOS EnrolledAccepts Medicare Assignment
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA-RHEUMATOLOGY, PHILADELPHIA, PA 19104(215) 590-2547(215) 590-4750 Get Directions Write a Review

NPPES record last updated: October 21, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 21, 2021, Oct 15, 2018 (2 updates tracked since 2018).

About Dr. Karen James Md NPPES

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

DR. KAREN JAMES MD (NPI 1740504547) is an individual pediatric rheumatology provider in Philadelphia, Pennsylvania, licensed in Utah (9818318-1205) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS and is a graduate of Tufts University School Of Medicine (2010).

NPPES Registry Identity

NPI1740504547
Entity TypeIndividualFemale
Primary Taxonomy2080P0216X
Provider Legal NameDR. KAREN JAMESCredential: MD
Location Address3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA-RHEUMATOLOGYPhiladelphia, PA 19104-4319
Mailing Address3401 Civic Center Blvd, Children's Hospital Of Philadelphia-rheumatologyPhiladelphia, PA 19104-4319 · (215) 590-2547 · Fax (215) 590-4750
Phone(215) 590-2547
Fax(215) 590-4750
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2010
Enumeration DateMarch 23, 2010
Last NPPES UpdateOctober 21, 20212 updates tracked since enumeration
NPPES CertifiedOctober 21, 2021
✔ NPI 1740504547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0216X
License✔ Licensed in UT · 9818318-1205
Definition
A pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
3401 CIVIC CENTER BLVD, Philadelphia, PA 19104
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Karen James 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 ID8628362662
PECOS Enrollment IDI20160812002260
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.

Medicare Billing Reassignment

Medicare enrollment records show Karen James reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Utah Pediatric Services
1,914 mi
Pediatric Orthopaedic Surgery
9385 S SNOWBIRD CENTER DR
Sandy, UT 84092
  • Reassigned Medicare billing, Utah enrollment
  • 751 clinicians in this Medicare group
NPI 1386257152 (801) 587-7109

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

AARON DORFMAN M.D.
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - CARDIOLOGY
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-4040
MS. NICOLE MARIE KOEPKE CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - EMERGENCY MED
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1944
DR. CASSANDRA ALYS LIGH MD
Surgery (Plastic and Reconstructive Surgery)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-2208
DR. PREETI SOI
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-7555
ROSALIND USHER M.D.
Pediatrics (Developmental - Behavioral Pediatrics)
3401 CIVIC CENTER BLVD, DIVISION OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-6336
DR. MATTHEW DAVID SCHREIER MD
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
DR. TERRENCE CALDWELL JR. PHARMD
Pharmacist (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
ALYSSA STIEFEL CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000

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 Karen James's NPI number?

The NPI number for Karen James is 1740504547. It was assigned to this individual provider in the NPPES registry on March 23, 2010.

Where is Karen James located?

Karen James practices at 3401 Civic Center Blvd Children's Hospital Of Philadelphia-Rheumatology, Philadelphia, PA 19104. The listed phone number is (215) 590-2547.

What is Karen James's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Rheumatology, with taxonomy code 2080P0216X.

Is Karen James enrolled in Medicare?

Yes. Karen James 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.

Which organization bills Medicare for Karen James's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen James reassigns Medicare benefits to University Of Utah Pediatric Services (Sandy, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Karen James's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen James accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Karen James 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.

When was this NPI record last updated?

The NPPES record for Karen James was last updated on October 21, 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.