Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DHARMENDRA VERMA M.D.
NPI 1225142623
Internal Medicine - Gastroenterology in Katy, TX

Active since August 19, 2006PECOS EnrolledAccepts Medicare Assignment
80.62/100
CMS Quality Rating
1259 FM 1463 RD STE 500, KATY, TX 77494(832) 443-3725 Get Directions Write a Review

NPPES record last updated: August 28, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 28, 2026, Nov 12, 2024, Apr 11, 2024 and 2 more (5 updates tracked since 2017).

About Dharmendra Verma M.d. NPPES

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

DHARMENDRA VERMA M.D. (NPI 1225142623) is an individual gastroenterology provider in Katy, Texas, licensed in Texas (M4619) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Citizens Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1225142623
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDHARMENDRA VERMACredential: M.D.
Location Address1259 FM 1463 RD STE 500Katy, TX 77494-5480
Mailing Address8806 N Navarro St Ste 600Victoria, TX 77904-1564 · (361) 485-2695 · Fax (361) 485-0635
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateAugust 19, 2006
Last NPPES UpdateAugust 28, 20265 updates tracked since enumeration
NPPES CertifiedAugust 28, 2026
✔ NPI 1225142623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in TX · M4619
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License M4619 (TX)
Also ListedInternal Medicine · HepatologyTaxonomy 207RI0008X · License M4619 (TX)
1259 FM 1463 RD STE 500, Katy, TX 77494

Secondary Practice Locations 2

Location 16404 Nursery Dr Ste 201Victoria, TX 77904-1688 · Phone (361) 485-2695 · Fax (361) 485-0635
Location 223923 Cinco Ranch Blvd Ste 600Katy, TX 77494-3399 · Phone (713) 500-6392 · Fax (713) 500-5484

Other Identifiers 2

Medicaid183318801TX
Other8S0021TX · Bcbs

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

Dharmendra Verma 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 ID3375548498
PECOS Enrollment IDI20060925000225
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 16

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
1,063 services233 patients
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.
950 services506 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
388 services113 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
364 services113 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.
304 services244 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
217 services208 patients

Hospital Affiliations CMS Care Compare 5

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

Citizens Medical Center

Acute Care Hospitals · Victoria, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number450023
Location2701 Hospital DriveVictoria, TX 77901 · Victoria County
Emergency services Birthing friendly

De Tar Hospital Navarro

Acute Care Hospitals · Victoria, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450147
Location506 E San Antonio StVictoria, TX 77901 · Victoria County
Emergency services Birthing friendly

Cuero Regional Hospital

Acute Care Hospitals · Cuero, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450597
Location2550 N EsplanadeCuero, TX 77954 · De Witt County
Emergency services Birthing friendly

Memorial Hermann Katy Hospital

Acute Care Hospitals · Katy, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450847
Location23900 Katy FreewayKaty, TX 77494 · Fort Bend County
Emergency services Birthing friendly

Jackson Healthcare Center

Critical Access Hospitals · Edna, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451363
Location1013 S WellsEdna, TX 77957 · Jackson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77494 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

80.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Promoting Interoperability98
Improvement Activities40
Cost37.09

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
80%394 patients4/55-star benchmark: 87%
Colorectal Cancer Screening
100%3,334 patients5/55-star benchmark: 88%
Controlling High Blood Pressure
82%22 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%9,428 patients5/55-star benchmark: 100%
e-Prescribing
99%3,296 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
100%1,650 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 99% · 2,626 patients
Patients screened: 99% · 2,626 patients
100%344 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
96%1,909 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 11

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

Internal Medicine (Gastroenterology)
1259 FM 1463 RD STE 500
KATY, TX 77494
Physician Assistant
1259 FM 1463 RD STE 500
KATY, TX 77494
Internal Medicine
1259 FM 1463 RD STE 500
KATY, TX 77494
Internal Medicine (Gastroenterology)
1259 FM 1463 RD STE 500
KATY, TX 77494
Internal Medicine (Gastroenterology)
1259 FM 1463 RD STE 500
KATY, TX 77494
Dietitian, Registered
1259 FM 1463 RD STE 500
KATY, TX 77494
Speech-Language Pathologist
1259 FM 1463 RD STE 500
KATY, TX 77494
Speech-Language Pathologist
1259 FM 1463 RD STE 500
KATY, TX 77494

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 Dharmendra Verma's NPI number?

The NPI number for Dharmendra Verma is 1225142623. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Where is Dharmendra Verma located?

Dharmendra Verma practices at 1259 Fm 1463 Rd Ste 500, Katy, TX 77494. The listed phone number is (832) 443-3725.

What is Dharmendra Verma's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Dharmendra Verma enrolled in Medicare?

Yes. Dharmendra Verma 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 Dharmendra Verma 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 5 other insurers list Dharmendra Verma 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 Dharmendra Verma affiliated with any hospitals?

According to CMS data, Dharmendra Verma is affiliated with Citizens Medical Center, De Tar Hospital Navarro, Cuero Regional Hospital, Memorial Hermann Katy Hospital and Jackson Healthcare Center.

When was this NPI record last updated?

The NPPES record for Dharmendra Verma was last updated on August 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days 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.