KARLA ALBA M.D.
NPI 1184079485
Family Medicine in Pasadena, TX

Active since April 25, 2016PECOS EnrolledAccepts Medicare Assignment
89.92/100
CMS Quality Rating
927 SHAW AVE, PASADENA, TX 77506(713) 982-5900 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 13, 2026, Sep 12, 2024, Feb 8, 2021 and 3 more (6 updates tracked since 2019).

About Karla Alba M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KARLA ALBA M.D. (NPI 1184079485) is an individual family medicine provider in Pasadena, Texas, licensed in Texas (S7835) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Northeast Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1184079485
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKARLA ALBACredential: M.D.
Location Address927 SHAW AVEPasadena, TX 77506-1430
Mailing AddressPo Box 734812Dallas, TX 75373-4812 · (210) 358-9500 · Fax (210) 358-9183
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2016
Enumeration DateApril 25, 2016
Last NPPES UpdateMay 13, 20266 updates tracked since enumeration
NPPES CertifiedMay 13, 2026
NPI 1184079485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in TX · S7835 Licensed in NY · 298154
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

927 SHAW AVE, Pasadena, TX 77506

Secondary Practice Locations 2

Location 17703 Floyd Curl Dr # Mc-7795San Antonio, TX 78229-3901 · Phone (832) 715-0784
Location 22121 SW 36th StSan Antonio, TX 78237-3360 · Phone (210) 358-5100 · Fax (210) 358-5157

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Karla Alba M.d. 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.

PECOS PAC ID7416246806
PECOS Enrollment IDI20200818002745
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
94 services55 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
33 services33 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
27 services27 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services20 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
18 services18 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
18 services18 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hermann Northeast Hospital

Acute Care Hospitals · Humble, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450684
Location18951 Memorial NorthHumble, TX 77338 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77506 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

89.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.39
Promoting Interoperability100
Improvement Activities40
Cost62.89

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
927 SHAW AVE
PASADENA, TX 77506
Nurse Practitioner (Family)
927 SHAW AVE
PASADENA, TX 77506
Pharmacy (Clinic Pharmacy)
927 SHAW AVE, PHARMACY
PASADENA, TX 77506
Internal Medicine
927 SHAW AVE
PASADENA, TX 77506
Internal Medicine
927 SHAW AVE
PASADENA, TX 77506
Family Medicine
927 SHAW AVE
PASADENA, TX 77506
Internal Medicine
927 SHAW AVE
PASADENA, TX 77506
Internal Medicine
927 SHAW AVE
PASADENA, TX 77506

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 Karla Alba's NPI number?

The NPI number for Karla Alba is 1184079485. It was assigned to this individual provider in the NPPES registry on April 25, 2016.

Where is Karla Alba located?

Karla Alba practices at 927 Shaw Ave, Pasadena, TX 77506. The listed phone number is (713) 982-5900.

What is Karla Alba's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Karla Alba enrolled in Medicare?

Yes. Karla Alba 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.

What insurance does Karla Alba accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice and Oscar Insurance Company list Karla Alba 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 Karla Alba affiliated with any hospitals?

According to CMS data, Karla Alba is affiliated with Memorial Hermann Northeast Hospital.

When was this NPI record last updated?

The NPPES record for Karla Alba was last updated on May 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.