Individual provider Active NPI

Edomias Desta, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Houston, TX
National Provider Identifier
1124549266
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
W3248 Issued in TX
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

Updated by the provider on Aug 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200731001561 NM Practitioner - Internal Medicine 2567716202 Reassigns benefits to 1 organization
I20260519002018 TX Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 2567716202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houston Pulmonary and Sleep Associates PLLCGroup PAC ID 1658512595, 10 clinicians

Practice addresses (Care Compare)

13219 Dotson Rd
Suite 210
Houston, TX 77070-4308
Phone (281) 955-0338

Hospital & facility affiliations

  • Houston Methodist Cypress Hospital Hospital, Cypress, TX, CCN 670342
  • HCA Houston Healthcare Kingwood Hospital, Kingwood, TX, CCN 450775

Merit-based Incentive Payment System (MIPS)

Final score
90.97 of 100Reported as group
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

LicenseStateTypeSpecialty
W3248TXMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Juan Regional Medical Center Inc Multi-Specialty CurrentSince Jul 16, 2020 Accepting new patients
San Juan Regional Medical Center Inc Multi-Specialty CurrentSince Jul 16, 2020 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.