Philip J Karanian, MD - Medicare Internal Medicine in West Hartford, CT

Philip J Karanian, MD is a medicare enrolled "Internal Medicine" physician in West Hartford, Connecticut. He graduated from medical school in 1986 and has 38 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Prime Healthcare, Pc and his current practice location is 20 Isham Rd, Suite 150, West Hartford, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 522-6118.

Philip J Karanian is licensed to practice in Connecticut (license number 029480) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1437136132.

Contact Information

Philip J Karanian, MD
20 Isham Rd, Suite 150,
West Hartford, CT 06107-2204
(860) 522-6118
(860) 246-0122

Map and Direction




Physician's Profile

Full NamePhilip J Karanian
GenderMale
SpecialityInternal Medicine
Experience38 Years
Location20 Isham Rd, West Hartford, Connecticut
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Philip J Karanian graduated from medical school in 1986
  NPI Data:
  • NPI Number: 1437136132
  • Provider Enumeration Date: 12/23/2005
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5799874558
  • Enrollment ID: I20091203000370

Medical Identifiers

Medical identifiers for Philip J Karanian such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437136132NPI-NPPES
001294800MedicaidCT
010029480CT01OtherCTBCBS
029480OtherCTMEDICAL LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 029480 (Connecticut)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Francis Hospital & Medical CenterHartford, CTHospital
Johnson Memorial HospitalStafford springs, CTHospital
The ReservoirWest hartford, CTNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prime Healthcare, Pc670978793077

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Philip J Karanian allows following entities to bill medicare on his behalf.
Entity NamePrime Healthcare, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184819302
PECOS PAC ID: 6709787930
Enrollment ID: O20040121000411

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Philip J Karanian is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Philip J Karanian, MD
30 Jordan Ln,
Wethersfield, CT 06109-1278

Ph: (860) 263-0253
Philip J Karanian, MD
20 Isham Rd, Suite 150,
West Hartford, CT 06107-2204

Ph: (860) 522-6118

Reviews and Comments


Internal Medicine Doctors in West Hartford, CT

Dr. Varalakshmi Niranjan, MD
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Phone: 860-523-6436    Fax: 860-523-3775
Dr. Gregory C Walsh, MD
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Phone: 860-527-1669    Fax: 860-293-0783
Myra Rosenstein, MD
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Dr. William James Pickering, MD
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Practice Location: 1064 Farmington Ave, West Hartford, CT 06107
Phone: 860-561-3890    Fax: 860-521-8040
Dr. Pallavi Lakra,
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Phone: 860-232-4891    
John Papandrea, MD
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Practice Location: 41 N Main St, Suite 300, West Hartford, CT 06107
Phone: 860-313-0448    Fax: 860-313-1464
Donald S Ruffett, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 345 N Main St Fl 1, West Hartford, CT 06117
Phone: 860-547-1489    Fax: 860-548-9105

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.