Individual provider Active NPI

Hector Carbajal, M.D.

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1477704849
Registry record updated Feb 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P0355 Issued in TX
Practice address
6565 Fannin St
Houston, TX 77030-2703
Phone
(281) 252-9993
NPI assigned
Oct 3, 2008
Last updated
Feb 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X P0355 TX Primary

Addresses

Primary practice location

6565 Fannin St
Houston, TX 77030-2703

Mailing address

PO Box 540064
Houston, TX 77254-0064
Phone (713) 535-3972

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20111018000229 TX Practitioner - Internal Medicine 7012189012 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6565 Fannin St
Houston, TX 77030-2707
Phone (832) 273-4636

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.73 of 100Reported as group
Quality
86.83
Improvement activities
40
Cost
100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Hospicare PLLC Internal Medicine CurrentSince Jul 1, 2013 Accepting new patients
Inpatient Hospitalists Texas Medical Center PLLC Internal Medicine CurrentSince May 18, 2018 Accepting new patients
Genuine Healthcare Services, Inc. PastSince May 2, 2011 Accepting new patients
The Methodist Hospital Past Accepting new patients

Locations

1302 Waugh Dr
Houston, TX 77019
Phone (713) 412-8454

6441 Main St
Houston, TX 77030
Phone (713) 790-0500

6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Genuine Healthcare Services IncMcAllen, TX, CCN 747702 Home health agency 5% Or Greater Direct Ownership Interest
5% Or Greater Indirect Ownership Interest
Corporate Director
W-2 Managing Employee
May 2, 2011
May 2, 2011
May 2, 2011
May 2, 2011

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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": "1222992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612483200000",
    "number": "1477704849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 540064",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772540064",
            "telephone_number": "713-535-3972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 FANNIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302703",
            "telephone_number": "281-252-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBAJAL",
        "first_name": "HECTOR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-03",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P0355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.