PRAVA KARKI
NPI 1386261204
Family Medicine in Texas City, TX

Active since June 26, 2020PECOS EnrolledAccepts Medicare Assignment
74.96/100
CMS Quality Rating
10121 EMMETT F LOWRY EXPY, TEXAS CITY, TX 77591(409) 772-2166(409) 772-2663 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 3, 2024, Jun 20, 2023, Jul 8, 2020 and 1 more (4 updates tracked since 2020).

About Prava Karki NPPES

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

PRAVA KARKI (NPI 1386261204) is an individual family medicine provider in Texas City, Texas, licensed in Texas (V1507) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with University Of Texas Medical Branch Galveston, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1386261204
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NamePRAVA KARKI
Location Address10121 EMMETT F LOWRY EXPYTexas City, TX 77591-2286
Mailing Address10121 Emmett F Lowry ExpyTexas City, TX 77591-2286 · (409) 986-9686 · Fax (409) 986-7890
Fax(409) 772-2663
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 26, 2020
Last NPPES UpdateOctober 14, 20244 updates tracked since enumeration
NPPES CertifiedOctober 14, 2024
NPI 1386261204 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 · V1507 Licensed in TX · BP10072182 Licensed in TX · 47970
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.

10121 EMMETT F LOWRY EXPY, Texas City, TX 77591

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

Prava Karki 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 ID6608299599
PECOS Enrollment IDI20230630000998
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 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
263 services126 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.
23 services23 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.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

University Of Texas Medical Branch Galveston

Acute Care Hospitals · Galveston, TX
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450018
Location301 University BoulevardGalveston, TX 77555 · Galveston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77591 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
$88.24 typical visit price
range $57.19 – $173.07
Typical copayment $22.06 (range $14.29 – $43.26)
Most-billed visit code 99203
Established Patient
$100.90 typical visit price
range $18.45 – $141.36
Typical copayment $25.22 (range $4.61 – $35.34)
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.

74.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.77
Promoting Interoperability94
Improvement Activities40
Cost47.75

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.

Family Medicine
10121 EMMETT F LOWRY EXPY
TEXAS CITY, TX 77591
Family Medicine
10121 EMMETT F LOWRY EXPY
TEXAS CITY, TX 77591
Family Medicine
10121 EMMETT F LOWRY EXPY
TEXAS CITY, TX 77591
Nurse Practitioner (Family)
10121 EMMETT F LOWRY EXPY
TEXAS CITY, TX 77591
Nurse Practitioner (Family)
10121 EMMETT F LOWRY EXPY
TEXAS CITY, TX 77591
Internal Medicine (Cardiovascular Disease)
10121 EMMETT F LOWRY EXPY
TEXAS CITY, TX 77591
Pediatrics
10121 EMMETT F LOWRY EXPY
TEXAS CITY, TX 77591
Otolaryngology (Otolaryngic Allergy)
10121 EMMETT F LOWRY EXPY
TEXAS CITY, TX 77591

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386261204, enumerated as an "individual" on June 26, 2020.

The provider is located at 10121 EMMETT F LOWRY EXPY TEXAS CITY, TX 77591 and the phone number is (409) 772-2166.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Community. Please consult your insurance carrier or call the provider to verify.

Prava Karki is affiliated with: UNIVERSITY OF TEXAS MEDICAL BRANCH GALVESTON.