Karla Acosta-Monroe, MD
Individual provider Active NPI Family Medicine Physician · Bryan, TX
NPI 1003306705 · NPPES record last updated Aug 7, 2024
Key facts
- NPI
- 1003306705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- V0671 (TX)
- Practice address
- 2612 W Villa Maria Rd
Bryan, TX 77807-4881 - Phone
- (979) 207-3636
- Fax
- (979) 207-6021
- NPI assigned
- May 17, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Commonwealth Medical College, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Scott and White Clinic
Practice addresses (Care Compare)
1280 Arrington Rd
Suite 200
College Station, TX 77845-8696
Phone (979) 207-6550
1605 S 31St St
Baylor Scott and White Center for Dia
Temple, TX 76508-0001
Phone (254) 215-0100
1700 University Dr E
College Station, TX 77840-2661
Phone (979) 691-3300
1700 University Dr E Entrance 16
Care Clinic College Station University Dr
College Station, TX 77840-2661
Phone (979) 207-3636
2401 S 31 St
Temple, TX 76508-0001
Phone (254) 724-2459
2401 S 31St St BLDG
35 Baylor Scott and White Roney Bone and
Temple, TX 76508-0001
Phone (254) 724-2663
810 W U Ave
Temple, TX 76508-0001
Phone (254) 724-2585
Hospital & facility affiliations
- Baylor Scott & White Medical Center- College Stati
- Baylor Scott & White Medical Center - Temple
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OR, TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220302002321 | OR | Practitioner - Family Practice | 5698169027 | Reassigns benefits to 1 organization |
| I20240530000936 | TX | Practitioner - Family Practice | 5698169027 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD204458 | OR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of the Northwest | Family Medicine | Current | Accepting new patients |
| Kaiser Foundation Health Plan of the Northwest | Family Medicine | Current |
Accepting new patients |
| Scott & White Clinic | Family Medicine | Current |
Accepting new patients |
| Scott & White Clinic | Family Medicine | Current |
Accepting new patients |
| Scott & White Clinic | Family Medicine | Current | Accepting new patients |
| Scott & White Hospital - Taylor | Past |
Accepting new patients |
Locations
10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946
10060 NE Evergreen Pkwy
Hillsboro, OR 97124
Phone (503) 645-2762
7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051
2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400
2612 W Villa Maria Rd
Bryan, TX 77807
Phone (409) 691-3300
1280 Arrington Rd
Ste 200
College Station, TX 77845
Phone (979) 207-6550
1700 University Dr E
College Station, TX 77840
Phone (979) 691-3300
2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459
1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801
7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000
Interoperability endpoints
- kacosta1326137@direct.sw.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD204458 | OR | |
| Family Medicine Physician | 207Q00000X | V0671 | TX | Yes |
Addresses
Primary practice location
2612 W Villa Maria Rd
Bryan, TX 77807-4881
Mailing address
PO Box 844658
Dallas, TX 75284-4658
Phone (254) 724-2111
Other practice location 1
10060 NE Evergreen Pkwy
Hillsboro, OR 97124-6448
Phone (503) 813-2000
Other names
- Karla Carolina Acosta
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) | Northwest Permanente PC |
| Direct Messaging Address | kacosta1326137@direct.sw.org | Direct |
Other providers in Bryan, TX
- Abc Chiropractic PA
- Abcs Home Care
- Jessica Rae Abrego
- Abundance Caring Hands
- Betty Acker
- Dalton Adams
- Rae Ann Adams
- Sjoerd Adams
- Michel Adeniran
- Advance Therapy PC
All providers in Bryan, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.