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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. CEMAL KARAKAS M.D
NPI 1831550243
Psychiatry & Neurology - Epilepsy in Louisville, KY

Active since March 11, 2016PECOS Enrolled
100/100
CMS Quality Rating
411 E CHESTNUT ST # ST6, LOUISVILLE, KY 40202(502) 588-3650(502) 588-7852 Get Directions Write a Review

NPPES record last updated: October 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 29, 2026, Aug 22, 2024, Oct 23, 2020 and 2 more (5 updates tracked since 2020).

About Dr. Cemal Karakas M.d NPPES

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

DR. CEMAL KARAKAS M.D (NPI 1831550243) is an individual epilepsy provider in Louisville, Kentucky, licensed in Kentucky (1938) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS and maintains a secondary practice location in Silver Spring.

NPPES Registry Identity

NPI1831550243
Entity TypeIndividualMale
Primary Taxonomy2084E0001X
Provider Legal NameDR. CEMAL KARAKASCredential: M.D
Location Address411 E CHESTNUT ST # ST6Louisville, KY 40202-1713
Mailing AddressPo Box 77879Chicago, IL 60677-6879 · (502) 272-5063 · Fax (502) 272-5339
Phone(502) 588-3650
Fax(502) 588-7852
Sole ProprietorNo
Enumeration DateMarch 11, 2016
Last NPPES UpdateOctober 29, 20265 updates tracked since enumeration
NPPES CertifiedOctober 29, 2026
✔ NPI 1831550243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · EpilepsyAllopathic & Osteopathic Physicians
Taxonomy Code2084E0001X
Licenses✔ Licensed in KY · 1938✔ Licensed in MD · D0102779
Definition
Epilepsy is a subspecialty of neurology focused on the diagnosis and treatment of patients with epilepsy, including new-onset, medically refractory epilepsy, psychogenic nonepileptic seizures, and epilepsy in special populations (the elderly, women, patients with co-morbidities). Epilepsy is a multidisciplinary field that provides comprehensive care of the patient.
Also ListedPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyTaxonomy 2084N0402X · License D0102779 (MD), 53165 (KY)
Also ListedPsychiatry & Neurology · Clinical NeurophysiologyTaxonomy 2084N0600X · License 53165 (KY)
411 E CHESTNUT ST # ST6, Louisville, KY 40202
Open in Google Maps ↗

Secondary Practice Location 1

Location 11500 Forest Glen RdSilver Spring, MD 20910-1460 · Phone (301) 754-7000

Accepted Insurance

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

Dr. Cemal Karakas M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Cemal Karakas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Norton Children's Medical Group, LLC
10 mi
Clinical Genetics (M.D.)
4803 OLYMPIA PARK PLZ STE 1100
Louisville, KY 40241
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: Norton Childrens Medical Group LLC
  • 1,008 clinicians in this Medicare group
NPI 1013559921 (502) 272-5336

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

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
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

KRISTI MATTINGLY APRN
Nurse Practitioner (Family)
411 E CHESTNUT ST # ST6
LOUISVILLE, KY 40202
Jefferson County (502) 588-3650

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 Cemal Karakas's NPI number?

The NPI number for Cemal Karakas is 1831550243. It was assigned to this individual provider in the NPPES registry on March 11, 2016.

Where is Cemal Karakas located?

Cemal Karakas practices at 411 E Chestnut St # St6, Louisville, KY 40202. The listed phone number is (502) 588-3650.

What is Cemal Karakas's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Epilepsy, with taxonomy code 2084E0001X.

Is Cemal Karakas enrolled in Medicare?

Yes. Cemal Karakas is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Cemal Karakas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cemal Karakas reassigns Medicare benefits to Norton Children's Medical Group, LLC (Louisville, KY). 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 Cemal Karakas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cemal Karakas accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and CareSource list Cemal Karakas 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 Cemal Karakas was last updated on October 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.