Karen James, MD
NPI 1619061256 · Cardiovascular Disease Physician · Cleveland, OH
Enrolled with Medicare as Practitioner - Advanced Heart Failure and Transplant Cardiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Karen James, MD is a Cardiovascular Disease Physician provider in Cleveland, OH (NPI 1619061256).
Provider details
- NPI number
- 1619061256
- Entity type
- Individual
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 35049941J (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
509 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 | 185 | $92 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 101 | $75 |
| Critical Care, First 30-74 Minutes99291 | 88 | $202 |
| Insertion of Tube in Right Heart Chambers for Measurement93451 | 24 | $117 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 23 | $126 |
| 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'S |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 28 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Sacubitril/Valsartanbrand: Entresto | 398 | 72 |
| Empagliflozinbrand: Jardiance | 261 | 56 |
| Spironolactone | 233 | 66 |
| Carvedilol | 205 | 55 |
| Metoprolol Succinate | 196 | 53 |
| Torsemide | 114 | 30 |
| Furosemide | 109 | 33 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-03
- Last updated
- 2008-02-08
Frequently asked questions
- What is Karen James's NPI number?
- Karen James's National Provider Identifier (NPI) is 1619061256, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Karen James's specialty?
- Karen James is listed in the NPPES registry with a primary specialty of Cardiovascular Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Karen James located?
- Karen James's practice location on file with NPPES is 9500 Euclid Ave, Cleveland, OH 44195-0001.
- What is Karen James's phone number?
- The practice phone number listed in the NPPES registry for Karen James is (800) 223-2273.
- Does Karen James accept Medicare?
- Karen James is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Karen James's NPI active?
- Yes — Karen James's NPI (1619061256) is active in the NPPES registry as of the last update on 2008-02-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.