Active NPI
Edomias Desta, MD
- Critical Care Medicine (Internal Medicine) Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- W3248
- Practice address
- 13219 Dotson Rd Ste 210
Houston, TX 77070-4308 - Phone
- (281) 955-0338
- Fax
- (281) 469-0741
- NPI assigned
- Jun 28, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | W3248 | TX | Primary |
| Internal Medicine Physician | 207R00000X | W3248 | TX |
Addresses
Primary practice location
13219 Dotson Rd Ste 210
Houston, TX 77070-4308
Mailing address
13219 Dotson Rd Ste 210
Houston, TX 77070-4308
Phone (281) 955-0338
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13219 Dotson Rd
Suite 210
Houston, TX 77070-4308
Phone (281) 955-0338
Hospital & facility affiliations
- Houston Methodist Cypress Hospital
- HCA Houston Healthcare Kingwood
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.97 of 100
- Quality
- 79.73
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.87
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| W3248 | TX | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Juan Regional Medical Center Inc | Multi-Specialty | Current | Accepting new patients |
| San Juan Regional Medical Center Inc | Multi-Specialty | Current | Accepting new patients |
| San Juan Regional Medical Center Inc | Multi-Specialty | Current | Accepting new patients |
Locations
801 W Maple St
Farmington, NM 87401
Phone (505) 325-5011
4820 E Main St
Ste 2
Farmington, NM 87402
Phone (505) 609-6610
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pulmonary Disease Physician
- Houston, TX
- NPI 1740625789
-
- Gastroenterology Physician
- Farmington, NM
- NPI 1639662901
Multi-Specialty
-
- Hospitalist Physician
- Farmington, NM
- NPI 1699938282
Multi-Specialty
-
- Family Medicine Physician
- Farmington, NM
- NPI 1710589015
Multi-Specialty
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kingwood, TX
- NPI 1811942238
-
- General Acute Care Hospital
- Cypress, TX
- NPI 1629828405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786492800000",
"number": "1124549266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13219 DOTSON RD STE 210",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770704308",
"telephone_number": "281-955-0338",
"fax_number": "281-469-0741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13219 DOTSON RD STE 210",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770704308",
"telephone_number": "281-955-0338",
"fax_number": "281-469-0741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESTA",
"first_name": "EDOMIAS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-06-28",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "TX",
"license": "W3248",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "W3248",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.