AMER AL-KARADSHEH M.D.
NPI 1396786729
Internal Medicine - Endocrinology, Diabetes & Metabolism in Houston, TX

Q: What is Amer Al-karadsheh's NPI number?

The NPI number for Amer Al-karadsheh is 1396786729. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Q: What is Amer Al-karadsheh's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for Amer Al-karadsheh was last updated on July 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since June 09, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 45D0935005 · Waiver

68.98/100

CMS Quality Rating

10837 KATY FWY STE 200, HOUSTON, TX 77079(713) 468-2122(713) 468-2289 Get Directions Write a Review

NPPES record last updated: July 7, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Amer Al-karadsheh M.d. NPPES

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

AMER AL-KARADSHEH M.D. (NPI 1396786729) is an individual endocrinology, diabetes & metabolism provider in Houston, Texas, licensed in Texas (J7403) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through April 22, 2028, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1396786729

Entity TypeIndividualMale

Primary Taxonomy207RE0101X

Provider Legal NameAMER AL-KARADSHEHCredential: M.D.

Location Address10837 KATY FWY STE 200Houston, TX 77079-2212

Mailing Address10837 Katy Fwy, Suite 200Houston, TX 77079-2204 · (713) 468-2122 · Fax (713) 468-2289

Phone(713) 468-2122

Fax(713) 468-2289

Sole ProprietorNo

Medical School CMSOtherGraduated 1989

Enumeration DateJune 9, 2006

Last NPPES UpdateJuly 7, 2020

NPPES CertifiedJuly 7, 2020

✔ NPI 1396786729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

License✔ Licensed in TX · J7403

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

10837 KATY FWY STE 200, Houston, TX 77079

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Secondary Practice Locations 2

Location 11631 North Loop W Ste 625Houston, TX 77008-1546 · Phone (832) 649-4386 · Fax (832) 218-7402

Location 218300 Katy Fwy Ste 465Houston, TX 77094-1385 · Phone (713) 973-3470 · Fax (281) 944-9793

Other Identifiers 4

Other894810TX · Bcbs

Other460001874Railroad Medicare

Medicaid133648903TX

Other1851490965TX · Group Npi

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Amer Al-karadsheh 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 ID1052382280

PECOS Enrollment IDI20040803000244

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.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0935005

Amer Al'karadsheh · Houston, TX

Active · expires Apr 22, 2028

CLIA Number45D0935005

Laboratory TypePhysician Office

Certificate Effective DateApril 23, 2026

Certificate Expiration DateApril 22, 2028

Laboratory DirectorDr. Amer Al-Karadsheh

Laboratory Phone(713) 468-2122

Laboratory LocationAmer Al'karadsheh10837 Katy Freeway Ste 200, Houston, TX 77079

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D0948404

Amer Al-Karadsheh, MD, PA Dba The Endocrine Center · Houston, TX

Expired · Jul 8, 2026

CLIA Number45D0948404

Laboratory TypePhysician Office

Certificate Effective DateJuly 9, 2024

Certificate Expiration DateJuly 8, 2026

Laboratory DirectorAmer S. Al Karadsheh MD

Laboratory Phone(713) 468-2122

Laboratory LocationAmer Al-Karadsheh, MD, PA Dba The Endocrine Center10837 Katy Freeway #200, Houston, TX 77079

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 10

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

558 services95 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.

319 services159 patients

Online digital evaluation and management service for an established patient for up to 7 days, total time 5-10 minutes 99421

This service involves a week-long digital assessment of your health status. It's conducted online by your healthcare provider, focusing on managing your existing health condition. The process takes 5-10 minutes of your time daily, ensuring optimal health management.

181 services15 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251

This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.

75 services46 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.

69 services69 patients

Blood glucose (sugar) test performed by hand-held instrument 82962

A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.

61 services45 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77079 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

$134.06 typical visit price

range $58.24 – $176.98

Typical copayment $33.51 (range $14.56 – $44.24)

Most-billed visit code 99204

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.

68.98/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

46.7

Promoting Interoperability

Improvement Activities

Cost

57.42

Reported Quality Measures

Diabetes: Eye Exam

Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period

91%223 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

99%609 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

2 suppliers12 claims12 services$215.65 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MARIA NIEN-FENG LEE M.D.

Internal Medicine (Endocrinology, Diabetes & Metabolism)