HECTOR CARBAJAL M.D.
NPI 1477704849
Internal Medicine in Houston, TX

Q: What is Hector Carbajal's NPI number?

The NPI number for Hector Carbajal is 1477704849. It was assigned to this individual provider in the NPPES registry on October 3, 2008.

Q: What is Hector Carbajal's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Hector Carbajal was last updated on February 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 October 03, 2008PECOS EnrolledAccepts Medicare Assignment

98.93/100

CMS Quality Rating

6565 FANNIN ST, HOUSTON, TX 77030(281) 252-9993 Get Directions Write a Review

NPPES record last updated: February 5, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Hector Carbajal M.d. NPPES

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

HECTOR CARBAJAL M.D. (NPI 1477704849) is an individual internal medicine provider in Houston, Texas, licensed in Texas (P0355) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS, is affiliated with Houston Methodist Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1477704849

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameHECTOR CARBAJALCredential: M.D.

Location Address6565 FANNIN STHouston, TX 77030-2703

Mailing AddressPo Box 540064Houston, TX 77254-0064 · (713) 535-3972

Phone(281) 252-9993

Sole ProprietorYes

Medical School CMSOtherGraduated 2002

Enumeration DateOctober 3, 2008

Last NPPES UpdateFebruary 5, 2021

NPPES CertifiedFebruary 5, 2021

✔ NPI 1477704849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in TX · P0355

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

6565 FANNIN ST, Houston, TX 77030

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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

Hector Carbajal 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 ID7012189012

PECOS Enrollment IDI20111018000229

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 Reassignments

Medicare enrollment records show Hector Carbajal reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Inpatient Hospitalists Texas Medical Center PLLC

Same address

Internal Medicine

6565 FANNIN ST
Houston, TX 77030

Reassigned Medicare billing, Texas enrollment
14 clinicians in this Medicare group

NPI 1598258113 (713) 535-3972

Houston Hospicare PLLC

0.1 mi

Internal Medicine

6565 FANNIN ST
Houston, TX 77030

Reassigned Medicare billing, Texas enrollment
3 clinicians in this Medicare group

NPI 1467892018 (281) 252-9993

Hospitalist Medicine Physicians Of Texas, PLLC

21 mi

Internal Medicine

18951 N MEMORIAL DR
Humble, TX 77338

Reassigned Medicare billing, Texas enrollment
2,009 clinicians in this Medicare group

NPI 1629307095 (281) 540-7700

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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

1,434 services262 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

263 services230 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

169 services135 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

111 services55 patients

Hospital Affiliations CMS Care Compare

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

Houston Methodist Hospital

Acute Care Hospitals · Houston, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450358

Location6565 FanninHouston, TX 77030 · Harris County

Emergency services Birthing friendly

Physician 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.

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.

98.93/100

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

Individually scored

Quality

97.15

Improvement Activities

Cost

83.57

Reported Quality Measures

Advance Care Plan

100%365 patients5/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

100%105 patients5/55-star benchmark: 100%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

100%71 patients5/55-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 20

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

SMAROULA DILIOGLOU PHD

Specialist/Technologist, Pathology

6565 FANNIN ST, MS205
HOUSTON, TX 77030

Harris County (713) 394-6450

MS. PRISCILLA DIAZ RN

Registered Nurse

6565 FANNIN ST
HOUSTON, TX 77030

Harris County (713) 441-2030

HOUSTON METHODIST CARDIOVASCULAR ANESTHESIA

Anesthesiology

6565 FANNIN ST
HOUSTON, TX 77030

Harris County (832) 667-6097

LAN ZHOU MD

Pathology (Anatomic Pathology & Clinical Pathology)

6565 FANNIN ST
HOUSTON, TX 77030

Harris County (713) 394-6450

DR. AMANDA WALTON BASFORD M.D.

Internal Medicine (Nephrology)

6565 FANNIN ST, FONDREN 270
HOUSTON, TX 77030

Harris County (713) 441-0006

MRS. AMY REYES MICLAT RN, MS, CCRN, APRN-B

Nurse Practitioner (Acute Care)

6565 FANNIN ST
HOUSTON, TX 77030

Harris County (713) 441-4999

DR. MAHEEN ADAM WARDAK MD

Anesthesiology

6565 FANNIN ST
HOUSTON, TX 77030

Harris County (713) 441-2194

DR. SHUANG LI M.D.

Hospitalist

6565 FANNIN ST
HOUSTON, TX 77030

Harris County (832) 368-9466

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 Hector Carbajal's NPI number?

The NPI number for Hector Carbajal is 1477704849. It was assigned to this individual provider in the NPPES registry on October 3, 2008.

Where is Hector Carbajal located?

Hector Carbajal practices at 6565 Fannin St, Houston, TX 77030. The listed phone number is (281) 252-9993.

What is Hector Carbajal's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Hector Carbajal enrolled in Medicare?

Yes. Hector Carbajal 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 Hector Carbajal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hector Carbajal reassigns Medicare benefits to 3 organizations: Inpatient Hospitalists Texas Medical Center PLLC (Houston, TX), Houston Hospicare PLLC (Houston, TX) and Hospitalist Medicine Physicians Of Texas, PLLC (Humble, TX). 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 Hector Carbajal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Hector Carbajal affiliated with any hospitals?

According to CMS data, Hector Carbajal is affiliated with Houston Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Hector Carbajal was last updated on February 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.