Karl Herman, M.D.
Internal Medicine Physician · Providence, RI
Karl Herman, M.D. is an internal medicine physician with a practice address in Providence, Rhode Island, and NPI 1003253063, issued on May 31, 2013. Check the license (Rhode Island MD15316, as entered in NPPES) on the Rhode Island Board of Medical Licensure and Discipline; the Medicare figures below come from public CMS files.
- Name
- Karl Herman
- Credential
- M.D.
- Primary taxonomy
- Internal Medicine Physician 207R00000X
- License number
- MD15316 RI
Self-reported in NPPES; status is on the state search - Practice location
- 164 Summit Ave, Providence, RI 02906
- Phone
- (401) 793-4489
- Enumerated
- May 31, 2013
- Record last updated
- Jun 10, 2016 (not updated in 10 years: call before relying on the address or phone)
- Fax
- (401) 793-4047
- Medicare enrollment
- Enrolled (PECOS I20160803000113); accepts Medicare assignment
- Medical or professional school
- University Of Utah School Of Medicine, 2013
- Entity
- Type 1 · individual
8 nearest internal medicine physician records → All 1,033 in Rhode Island → Look up another NPI →
Also registered at 164 Summit Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Jennifer Adelson-Mitty, MDInfectious Disease Physician1700830924
- Rahul Aggarwal, MDInternal Medicine Physician1477286839
- Kristy Altongy-Magee, PA-CSurgical Physician Assistant1336334473
- Lisha AndrewRegistered Dietitian1164992558
Verify Karl Herman in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersRhode Island Board of Medical Licensure and Discipline
Search for license MD15316Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
95% fewer Medicare Part D claims than the average internal medicine physician in 2024
149 Medicare Part D claims for 69 beneficiaries, against an average of 3,176 among the 108,855 providers of this specialty who prescribed in Part D. Brand-name drugs were 9% of claims. 12 claims were for opioids.
Most prescribed
- Amoxicillin-Clavulanate Potass12 claims
- Oxycodone Hcl12 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Bills Medicare through 2 group practices
- Hospital Medicine Associates LLCWesterly, RI
- Lifespan Physician Group IncProvidence, RI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Karl Herman among 1,033 internal medicine physician records in Rhode Island
Karl Herman, M.D. is one of 1,033 internal medicine physician records with a practice address in Rhode Island. 80% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2013, is newer than 55% of them.
- NPI issued2013 · 55% of these records are older, 42% newer
- In a Medicare fileYes · 80% of these records are
- In the CMS Doctors and Clinicians fileYes · 57% of these records are
- Graduated2013 · median 2006 among the 590 with a school on file
- Record last updated2016 · 48% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207R00000X and a Rhode Island practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
511 internal medicine physician records list a practice address in Providence
They are 511 of the 9,647 NPPES records with a practice address in Providence, and 1,033 internal medicine physician records in Rhode Island.
All 1,033 in Rhode Island → Every provider in Providence → Internal Medicine Physician nationwide →
The 8 internal medicine physician records with the nearest ZIP codes
- Nadeem Anis, MDProvidence, RI 029061275513442
- James Atkinson, MDProvidence, RI 029061003894825
- Geoffrey Berg, MDProvidence, RI 029061902804313
- Ehab Daoud, MDProvidence, RI 029061144208299
- Kwame Dapaah-Afriyie, MDProvidence, RI 029061053399105
- Oscar Glieberman, M.D.Providence, RI 029061477504637
- Mary Hohenhaus, MDProvidence, RI 029061164476370
- Jeanne Oliva, MDProvidence, RI 029061831146877
Common questions
What is Karl Herman, M.D.'s NPI number?
Karl Herman, M.D.'s National Provider Identifier (NPI) is 1003253063, issued on May 31, 2013. An NPI identifies a provider in billing; it is not a license.
Where is Karl Herman, M.D. located?
The NPPES record lists a practice address at 164 Summit Ave, Providence, RI, 02906. Phone: (401) 793-4489. Providers update this record themselves, so call before visiting.
How can I verify Karl Herman, M.D.'s license?
NPPES lists Rhode Island license number MD15316, as entered by the provider. Search the Rhode Island Board of Medical Licensure and Discipline at https://healthri.mylicense.com/Verification/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Karl Herman, M.D. prescribe under Medicare Part D?
In 2024, Karl Herman, M.D. had 149 Medicare Part D claims for 69 beneficiaries; the average among internal medicine physician prescribers was 3,176. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.