CAROLE KARKOUR MD
NPI 1790451227
Internal Medicine in Denville, NJ
About Carole Karkour Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAROLE KARKOUR MD (NPI 1790451227) is an individual internal medicine provider in Denville, New Jersey, licensed in Pennsylvania (MD492232) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Carole Karkour 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.
Medicare Billing Reassignments
2Medicare enrollment records show Carole Karkour reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19118
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,473 clinicians in this Medicare group
Pottstown, PA 19465
- Reassigned Medicare billing, Pennsylvania enrollment
- 474 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Reading Hospital
Acute Care Hospitals · West Reading, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07834 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
DENVILLE, NJ 07834
DENVILLE, NJ 07834
DENVILLE, NJ 07834
DENVILLE, NJ 07834
DENVILLE, NJ 07834
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 Carole Karkour's NPI number?
The NPI number for Carole Karkour is 1790451227. It was assigned to this individual provider in the NPPES registry on August 16, 2021.
Where is Carole Karkour located?
Carole Karkour practices at 25 Pocono Rd, Denville, NJ 07834. The listed phone number is (973) 983-5583.
What is Carole Karkour's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Carole Karkour enrolled in Medicare?
Yes. Carole Karkour 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 organizations bill Medicare for Carole Karkour's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carole Karkour reassigns Medicare benefits to 2 organizations: Tower Health Medical Group (Philadelphia, PA) and Pottstown Clinic Company LLC (Pottstown, PA). Each 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 Carole Karkour's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carole Karkour accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Carole Karkour 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 Carole Karkour affiliated with any hospitals?
According to CMS data, Carole Karkour is affiliated with Reading Hospital.
When was this NPI record last updated?
The NPPES record for Carole Karkour was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.
# Carole Karkour, MD · NPI 1790451227
Internal Medicine physician in Denville, New Jersey. Individual provider, active in the CMS NPPES registry since August 16, 2021.
## Identity
- **NPI:** 1790451227 (Entity type: Individual)
- **Enumerated:** August 16, 2021
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** MD492232 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 25 POCONO RD, Denville, NJ 07834-2954
- **Phone:** (973) 983-5583
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Tower Health Medical Group (NPI 1306476924, Philadelphia, PA); Pottstown Clinic Company LLC (NPI 1649341934, Pottstown, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** January 27, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1790451227) · Data from the CMS NPPES public registry.