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ZEINA KARAM MD
NPI 1861652034
Internal Medicine - Nephrology in Washington, MO

Active since June 11, 2008PECOS EnrolledAccepts Medicare Assignment
901 PATIENTS FIRST DR, WASHINGTON, MO 63090(636) 231-6260(636) 231-6261 Get Directions Write a Review

NPPES record last updated: October 16, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Zeina Karam Md NPPES

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

ZEINA KARAM MD (NPI 1861652034) is an individual nephrology provider in Washington, Missouri, licensed in Missouri (2011006597) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1861652034
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameZEINA KARAMCredential: MD
Location Address901 PATIENTS FIRST DRWashington, MO 63090-4700
Mailing Address901 Patients First DrWashington, MO 63090-4700 · (636) 231-6260 · Fax (636) 231-6261
Phone(636) 231-6260
Fax(636) 231-6261
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJune 11, 2008
Last NPPES UpdateOctober 16, 2014
✔ NPI 1861652034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses✔ Licensed in MO · 2011006597✔ Licensed in WI · 60922-20
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
901 PATIENTS FIRST DR, Washington, MO 63090
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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

Zeina Karam 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 ID1557541323
PECOS Enrollment IDI20150511002028
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 7

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.
310 services176 patients
Home dialysis services per month (20 years or older) 90966
Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.
87 services14 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
76 services19 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
66 services19 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
36 services36 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
29 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Mercy Hospital St Louis

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260020
Location615 New Ballas RoadSaint Louis, MO 63141 · St. Louis County
Emergency services Birthing friendly

Mercy Hospital Washington

Acute Care Hospitals · Washington, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260052
Location901 East 5th StreetWashington, MO 63090 · Franklin County
Emergency services

Hermann Area District Hospital

Critical Access Hospitals · Hermann, MO
OwnershipGovernment - Hospital District or Authority
CMS Certification Number261314
Location509 W 18th StHermann, MO 65041 · Gasconade County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63090 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier11 claims990 services$0.30 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier11 claims660 services$0.18 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier11 claims11 services$17.20 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
1 supplier11 claims11 services$12.62 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MERCY CLINIC OPHTHALMOLOGY LLC
Ophthalmology
901 PATIENTS FIRST DR
WASHINGTON, MO 63090
Franklin County (636) 231-3651
MRS. CYNTHIA GRACE LOHRER PT/CHT
Physical Therapist
901 PATIENTS FIRST DR, SUITE 2600
WASHINGTON, MO 63090
Franklin County (636) 390-1700
AMY LEE SWOBODA FNP-BC
Nurse Practitioner (Family)
901 PATIENTS FIRST DR
WASHINGTON, MO 63090
Franklin County (636) 239-4100
SUDHANSHU GOGIA MD
Internal Medicine (Hepatology)
901 PATIENTS FIRST DR
WASHINGTON, MO 63090
Franklin County (636) 239-7344
KATARZYNA ANNE KOHLER DO
Family Medicine
901 PATIENTS FIRST DR, SUITE 1200
WASHINGTON, MO 63090
Franklin County (636) 390-1777
VICTORIA L YENZER NP
Nurse Practitioner (Adult Health)
901 PATIENTS FIRST DR
WASHINGTON, MO 63090
Franklin County (636) 239-7500
PATIENTS FIRST HEALTH CARE LLC
Clinic/Center (Urgent Care)
901 PATIENTS FIRST DR
WASHINGTON, MO 63090
Franklin County (636) 390-1777
DR. MARISSA CHRISTINE STOCK MD
Pediatrics
901 PATIENTS FIRST DR
WASHINGTON, MO 63090
Franklin County (636) 231-3690

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 Zeina Karam's NPI number?

The NPI number for Zeina Karam is 1861652034. It was assigned to this individual provider in the NPPES registry on June 11, 2008.

Where is Zeina Karam located?

Zeina Karam practices at 901 Patients First Dr, Washington, MO 63090. The listed phone number is (636) 231-6260.

What is Zeina Karam's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Zeina Karam enrolled in Medicare?

Yes. Zeina Karam 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 Zeina Karam accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 5 other insurers list Zeina Karam 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 Zeina Karam affiliated with any hospitals?

According to CMS data, Zeina Karam is affiliated with Mercy Hospital St Louis, Mercy Hospital Washington and Hermann Area District Hospital.

When was this NPI record last updated?

The NPPES record for Zeina Karam was last updated on October 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.