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

LUIS CARRILLO MD
NPI 1467195586
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Galveston, TX

Q: What is Luis Carrillo's NPI number?

The NPI number for Luis Carrillo is 1467195586. It was assigned to this individual provider in the NPPES registry on April 16, 2022.

Q: What is Luis Carrillo's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Q: When was this NPI record last updated?

The NPPES record for Luis Carrillo was last updated on October 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since April 16, 2022PECOS Enrolled

301 UNIVERSITY BLVD, GALVESTON, TX 77555(409) 772-9507(409) 747-5570 Get Directions Write a Review

NPPES record last updated: October 26, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 26, 2026, Aug 25, 2026, Apr 19, 2022 and 1 more (4 updates tracked since 2022).

On this page

About Luis Carrillo Md NPPES

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

LUIS CARRILLO MD (NPI 1467195586) is an individual urogynecology and reconstructive pelvic surgery provider in Galveston, Texas, licensed in Texas (W6595) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical Branch At Galveston (2022).

NPPES Registry Identity

NPI1467195586

Entity TypeIndividualMale

Primary Taxonomy207VF0040X

Provider Legal NameLUIS CARRILLOCredential: MD

Location Address301 UNIVERSITY BLVDGalveston, TX 77555-5302

Mailing Address7703 Floyd Curl DrSan Antonio, TX 78229-3901 · (210) 567-4953 · Fax (210) 567-3485

Phone(409) 772-9507

Fax(409) 747-5570

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2022

Enumeration DateApril 16, 2022

Last NPPES UpdateOctober 26, 20264 updates tracked since enumeration

NPPES CertifiedOctober 26, 2026

✔ NPI 1467195586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207VF0040X

License✔ Licensed in TX · W6595

Definition

A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.

301 UNIVERSITY BLVD, Galveston, TX 77555

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Luis Carrillo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2365901022

PECOS Enrollment IDI20260824004098

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.

Medicare Billing Reassignment

Medicare enrollment records show Luis Carrillo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Utmb Faculty Group Practice

Same address

General Practice

301 UNIVERSITY BLVD
Galveston, TX 77555

Reassigned Medicare billing, Texas enrollment
2,222 clinicians in this Medicare group

NPI 1942241146 (409) 772-2222

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77555 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

$131.16 typical visit price

range $57.19 – $173.07

Typical copayment $32.79 (range $14.29 – $43.26)

Most-billed visit code 99204

Established Patient

$71.32 typical visit price

range $18.45 – $141.36

Typical copayment $17.83 (range $4.61 – $35.34)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

AMY KATHERINE HAVERTY PNP

Nurse Practitioner (Pediatrics)

301 UNIVERSITY BLVD
GALVESTON, TX 77555

Galveston County (409) 772-2222

EVA NOVAK BLIGHT NNP

Nurse Practitioner (Neonatal)

301 UNIVERSITY BLVD
GALVESTON, TX 77555

Galveston County (409) 772-2222

DR. JENNIFER ANN MINNEMAN MD

Surgery (Trauma Surgery)

301 UNIVERSITY BLVD
GALVESTON, TX 77555

Galveston County (409) 772-1011

DR. JAMES HAROLD PAVELA MD

Internal Medicine

301 UNIVERSITY BLVD
GALVESTON, TX 77555

Galveston County (409) 772-7063

DIAA HAMOUDA MBBCH

Psychiatry & Neurology (Neurology)

301 UNIVERSITY BLVD, JSA 9.128
GALVESTON, TX 77555

Galveston County (409) 772-8031

SOMMER KIRSCH CAUSEY MD

Anesthesiology

301 UNIVERSITY BLVD
GALVESTON, TX 77555

Galveston County (409) 772-1221

RANDA ABDELMASIH MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

301 UNIVERSITY BLVD
GALVESTON, TX 77555

Galveston County (832) 505-2300

HEATHER PENTON

Anesthesiology

301 UNIVERSITY BLVD
GALVESTON, TX 77555

Galveston County (409) 772-2222

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 Luis Carrillo's NPI number?

The NPI number for Luis Carrillo is 1467195586. It was assigned to this individual provider in the NPPES registry on April 16, 2022.

Where is Luis Carrillo located?

Luis Carrillo practices at 301 University Blvd, Galveston, TX 77555. The listed phone number is (409) 772-9507.

What is Luis Carrillo's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Is Luis Carrillo enrolled in Medicare?

Yes. Luis Carrillo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Luis Carrillo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Luis Carrillo reassigns Medicare benefits to Utmb Faculty Group Practice (Galveston, TX). The 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 Luis Carrillo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Luis Carrillo accept?

Health plans from Blue Cross and Blue Shield of Texas list Luis Carrillo 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.

When was this NPI record last updated?

The NPPES record for Luis Carrillo was last updated on October 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.