DR. RON J KARNI MD
NPI 1053434910
Otolaryngology in Houston, TX
About Dr. Ron J Karni Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RON J KARNI MD (NPI 1053434910) is an individual otolaryngology provider in Houston, Texas, licensed in Texas (N1703) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and is a graduate of Baylor College Of Medicine (2003).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Ron J Karni Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Ron Karni reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- 3,111 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 11
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Memorial Hermann - Texas Medical Center
Acute Care Hospitals · Houston, TXMemorial Hermann Hospital System
Acute Care Hospitals · Houston, TXMemorial Hermann Memorial City Hospital
Acute Care Hospitals · Houston, TXHca Houston Healthcare Medical Center
Acute Care Hospitals · Houston, TXAd Hospital East, LLC
Acute Care Hospitals · Houston, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 77030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 17
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HOUSTON, TX 77030
HOUSTON, TX 77030
HOUSTON, TX 77030
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ron Karni's NPI number?
The NPI number for Ron Karni is 1053434910. It was assigned to this individual provider in the NPPES registry on April 7, 2007.
Where is Ron Karni located?
Ron Karni practices at 6400 Fannin St 2700, Houston, TX 77030. The listed phone number is (713) 486-5000.
What is Ron Karni's specialty?
The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.
Is Ron Karni enrolled in Medicare?
Yes. Ron Karni is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Ron Karni's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ron Karni reassigns Medicare benefits to Ut Physicians (Houston, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ron Karni's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ron Karni accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Ron Karni as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Ron Karni affiliated with any hospitals?
According to CMS data, Ron Karni is affiliated with Memorial Hermann - Texas Medical Center, Memorial Hermann Hospital System, Memorial Hermann Memorial City Hospital, Hca Houston Healthcare Medical Center and Ad Hospital East, LLC.
When was this NPI record last updated?
The NPPES record for Ron Karni was last updated on February 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Ron J Karni, MD · NPI 1053434910
Otolaryngology physician in Houston, Texas. Individual provider, active in the CMS NPPES registry since April 7, 2007.
## Identity
- **NPI:** 1053434910 (Entity type: Individual)
- **Enumerated:** April 7, 2007
- **Primary specialty:** Otolaryngology · taxonomy 207Y00000X
- **State license:** N1703 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 6400 FANNIN ST, 2700, Houston, TX 77030-1521
- **Phone:** (713) 486-5000 · **Fax:** (713) 383-1410
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Ut Physicians (NPI 1033157821, Houston, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Baylor College Of Medicine, class of 2003
## Record status
- **NPPES last updated:** February 12, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1053434910) · Data from the CMS NPPES public registry.