MICHAEL A GARCIA MD
NPI 1295390219
Hospitalist in Houston, TX
About Michael A Garcia Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL A GARCIA MD (NPI 1295390219) is an individual hospitalist provider in Houston, Texas, licensed in Texas (47756) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
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
Michael A Garcia 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 Reassignments
2Medicare enrollment records show Michael Garcia reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
El Cajon, CA 92020
- Reassigned Medicare billing, California enrollment
- 87 clinicians in this Medicare group
San Diego, CA 92123
- Reassigned Medicare billing, California enrollment
- 1,437 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 3
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
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, 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.
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
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 Michael Garcia's NPI number?
The NPI number for Michael Garcia is 1295390219. It was assigned to this individual provider in the NPPES registry on May 6, 2019.
Where is Michael Garcia located?
Michael Garcia practices at 6411 Fannin St, Houston, TX 77030. The listed phone number is (713) 500-7116.
What is Michael Garcia's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Michael Garcia enrolled in Medicare?
Yes. Michael Garcia 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 organizations bill Medicare for Michael Garcia's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Garcia reassigns Medicare benefits to 2 organizations: San Diego Critical Care Medical Group, Inc (El Cajon, CA) and Emergency And Acute Care Medical Corporation (San Diego, CA). Each 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 Michael Garcia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Michael Garcia affiliated with any hospitals?
According to CMS data, Michael Garcia is affiliated with Memorial Hermann - Texas Medical Center.
When was this NPI record last updated?
The NPPES record for Michael Garcia was last updated on December 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Michael A Garcia, MD · NPI 1295390219
Hospitalist physician in Houston, Texas. Individual provider, active in the CMS NPPES registry since May 6, 2019.
## Identity
- **NPI:** 1295390219 (Entity type: Individual)
- **Enumerated:** May 6, 2019
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 47756 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 6411 FANNIN ST, Houston, TX 77030-1501
- **Phone:** (713) 500-7116 · **Fax:** (713) 500-0625
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): San Diego Critical Care Medical Group, Inc (NPI 1609915990, El Cajon, CA); Emergency And Acute Care Medical Corporation (NPI 1437103942, San Diego, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** December 1, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1295390219) · Data from the CMS NPPES public registry.