Elias Karroum, M.D, PH.D.
NPI 1053699876 · Sleep Medicine (Psychiatry & Neurology) Physician · Charlottesville, VA
Enrolled with Medicare as Practitioner - Neurology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Elias Karroum, M.D, PH.D. is a Sleep Medicine (Psychiatry & Neurology) Physician provider in Charlottesville, VA (NPI 1053699876).
Provider details
- NPI number
- 1053699876
- Entity type
- Individual
- Primary specialty
- Sleep Medicine (Psychiatry & Neurology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D, PH.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD045226 (DC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
15 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
190 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 58 | $93 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 42 | $134 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 31 | $173 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 27 | $16 |
| Sleep Study in Sleep Lab (6 Years Or Older)95810 | 18 | $109 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 3 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Pregabalin | 33 | 12 |
| Gabapentin | 23 | — |
| Gabapentin Enacarbilbrand: Horizant | 13 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Additional practice locations (1)
- 1215 Lee StCharlottesville, VA 22908-3201Phone: (434) 924-2706Fax: (434) 924-9068
Registry dates
- Enumerated
- 2011-07-27
- Last updated
- 2024-01-25
- Certified
- 2024-01-25
Frequently asked questions
- What is Elias Karroum's NPI number?
- Elias Karroum's National Provider Identifier (NPI) is 1053699876, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Elias Karroum's specialty?
- Elias Karroum is listed in the NPPES registry with a primary specialty of Sleep Medicine (Psychiatry & Neurology) Physician (Allopathic & Osteopathic Physicians).
- Where is Elias Karroum located?
- Elias Karroum's practice location on file with NPPES is 1221 Lee Street, Charlottesville, VA 22908-3201.
- What is Elias Karroum's phone number?
- The practice phone number listed in the NPPES registry for Elias Karroum is (434) 924-2706.
- Does Elias Karroum accept Medicare?
- Elias Karroum is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Elias Karroum's NPI active?
- Yes — Elias Karroum's NPI (1053699876) is active in the NPPES registry as of the last update on 2024-01-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.