DR. CARLOS OMAR ENCARNACION M.D.
NPI 1508132812
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Houston, TX

Active since March 30, 2012PECOS EnrolledAccepts Medicare Assignment
1313 HERMANN DR, HOUSTON, TX 77004(713) 527-5000 Get Directions Write a Review

NPPES record last updated: July 1, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Carlos Omar Encarnacion M.d. NPPES

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

DR. CARLOS OMAR ENCARNACION M.D. (NPI 1508132812) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Houston, Texas, licensed in Texas (S2025) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, is affiliated with Hca Houston Healthcare Medical Center, and maintains a secondary practice location in Cypress.

NPPES Registry Identity

NPI1508132812
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDR. CARLOS OMAR ENCARNACIONCredential: M.D.
Location Address1313 HERMANN DRHouston, TX 77004-7005
Mailing Address118 Shenandoah Dr Ste AShenandoah, TX 77381-1203 · (281) 583-4000
Sole ProprietorYes
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2013
Enumeration DateMarch 30, 2012
Last NPPES UpdateJuly 1, 2019
NPI 1508132812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License Licensed in TX · S2025
Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

1313 HERMANN DR, Houston, TX 77004

Secondary Practice Location 1

Location 121214 Northwest FwyCypress, TX 77429-3373 · Phone (832) 912-3773

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Dr. Carlos Omar Encarnacion 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 ID1355660879
PECOS Enrollment IDI20190820003192
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 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

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.
22 services21 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
12 services12 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Hca Houston Healthcare Medical Center

Acute Care Hospitals · Houston, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450659
Location1313 Hermann DrHouston, TX 77004 · Harris County
Emergency services

Hca Houston Healthcare Kingwood

Acute Care Hospitals · Kingwood, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450775
Location22999 Us Hwy 59Kingwood, TX 77325 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77004 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
$176.98 typical visit price
range $58.24 – $176.98
Typical copayment $44.24 (range $14.56 – $44.24)
Most-billed visit code 99205
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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.

Anesthesiology
1313 HERMANN DR, SUITE 270
HOUSTON, TX 77004
General Acute Care Hospital
1313 HERMANN DR
HOUSTON, TX 77004
Speech-Language Pathologist
1313 HERMANN DR
HOUSTON, TX 77004
Nurse Practitioner
1313 HERMANN DR
HOUSTON, TX 77004
Internal Medicine
1313 HERMANN DR
HOUSTON, TX 77004
Hospitalist
1313 HERMANN DR
HOUSTON, TX 77004
Social Worker
1313 HERMANN DR
HOUSTON, TX 77004
Occupational Therapist
1313 HERMANN DR
HOUSTON, TX 77004

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 Carlos Encarnacion's NPI number?

The NPI number for Carlos Encarnacion is 1508132812. It was assigned to this individual provider in the NPPES registry on March 30, 2012.

Where is Carlos Encarnacion located?

Carlos Encarnacion practices at 1313 Hermann Dr, Houston, TX 77004. The listed phone number is (713) 527-5000.

What is Carlos Encarnacion's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Carlos Encarnacion enrolled in Medicare?

Yes. Carlos Encarnacion 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.

What insurance does Carlos Encarnacion accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Carlos Encarnacion 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.

Is Carlos Encarnacion affiliated with any hospitals?

According to CMS data, Carlos Encarnacion is affiliated with Hca Houston Healthcare Medical Center and Hca Houston Healthcare Kingwood.

When was this NPI record last updated?

The NPPES record for Carlos Encarnacion was last updated on July 1, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.