Individual provider Active NPI

Carlos Alberto Navarro, MD

  • Internal Medicine Physician
  • League City, TX
National Provider Identifier
1447522867
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
U0813 Issued in TX
Practice address
2240 Gulf Fwy S FL 4
League City, TX 77573-5143
Phone
(832) 505-1234
NPI assigned
Jan 31, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Aerospace Medicine Physician 2083A0100X A126457 CA
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X U0813 TX Primary

Addresses

Primary practice location

2240 Gulf Fwy S FL 4
League City, TX 77573-5143

Mailing address

PO Box 650859
Dept 710
Dallas, TX 75265
Phone (409) 772-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, 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
I20210723001603 CA Practitioner - Family Practice 3779986047 Reassigns benefits to 1 organization
I20230323000835 TX Practitioner - Internal Medicine 3779986047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utmb Faculty Group PracticeGroup PAC ID 3375456734, 1,083 clinicians

Practice addresses (Care Compare)

2240 Gulf Fwy S
League City, TX 77573-5143
Phone (832) 505-3144

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.88 of 100Reported as group
Quality
73.38
Improvement activities
40
Cost
78.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
U0813TXMDInternal Medicine Physician
A126457CAMDAerospace Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Utmb Faculty Group Practice Internal Medicine CurrentSince Mar 8, 2023 Accepting new patients
Marque Medical Clinic, Inc CurrentSince Aug 1, 2021 Accepting new patients
Marque Medical Clinic, Inc. CurrentSince Aug 1, 2021 Accepting new patients
University of Texas Medical Branch at Galveston PastSince Mar 8, 2023 Accepting new patients
Marque Medical Clinic, Inc. PastSince Jul 1, 2021 Accepting new patients

Locations

8970 Knott Ave
Buena Park, CA 90620
Phone (877) 693-6266

21770 LK FRST Dr
Ste 109
Lake Forest, CA 92630
Phone (877) 693-6266

2075 San Joaquin Hills Rd
Newport Beach, CA 92660
Phone (877) 693-6266

10391 Magnolia Ave
Riverside, CA 92505

4490 Fanuel St
Ste 100
San Diego, CA 92109

2020 E Highway 6
Alvin, TX 77511
Phone (281) 585-2530

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001

2240 Gulf Fwy S
Fl 4
League City, TX 77573
Phone (832) 505-1234

2240 Gulf Fwy S
League City, TX 77573
Phone (832) 505-1000

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1327968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1447522867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650859",
            "address_2": "DEPT 710",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75265",
            "telephone_number": "409-772-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 GULF FWY S FL 4",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775735143",
            "telephone_number": "832-505-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVARRO",
        "first_name": "CARLOS",
        "middle_name": "ALBERTO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-31",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "CA",
            "license": "A126457",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "U0813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

Verify at the official NPI Registry.