KAREN DE LA GARZA MD
NPI 1518454032
Internal Medicine in Austin, TX
About Karen De La Garza Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAREN DE LA GARZA MD (NPI 1518454032) is an individual internal medicine provider in Austin, Texas, licensed in Texas (BP10063741) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Ascension Seton Medical Center Austin, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Karen De La Garza Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Karen De La Garza reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Austin, TX 78712
- Reassigned Medicare billing, Texas enrollment
- 1,188 clinicians in this Medicare group
Austin, TX 78758
- Reassigned Medicare billing, Texas enrollment
- 240 clinicians in this Medicare group
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 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ascension Seton Medical Center Austin
Acute Care Hospitals · Austin, TXDell Seton Med Center At The University Of Tx
Acute Care Hospitals · Austin, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Karen De La Garza's NPI number?
The NPI number for Karen De La Garza is 1518454032. It was assigned to this individual provider in the NPPES registry on April 19, 2018.
Where is Karen De La Garza located?
Karen De La Garza practices at 1500 Red River St, Austin, TX 78701. The listed phone number is (512) 324-8355.
What is Karen De La Garza's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Karen De La Garza enrolled in Medicare?
Yes. Karen De La Garza 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 Karen De La Garza's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Karen De La Garza reassigns Medicare benefits to 2 organizations: Seton Family Of Doctors (Austin, TX) and Central Texas Community Health Centers (Austin, 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 Karen De La Garza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Karen De La Garza accept?
Health plans from Blue Cross and Blue Shield of Texas, Harbor Health, Sendero Health Plans, Local Nonprofit and UnitedHealthcare list Karen De La Garza 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 Karen De La Garza affiliated with any hospitals?
According to CMS data, Karen De La Garza is affiliated with Ascension Seton Medical Center Austin and Dell Seton Med Center At The University Of Tx.
When was this NPI record last updated?
The NPPES record for Karen De La Garza was last updated on April 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Karen De La Garza, MD · NPI 1518454032
Internal Medicine physician in Austin, Texas. Individual provider, active in the CMS NPPES registry since April 19, 2018.
## Identity
- **NPI:** 1518454032 (Entity type: Individual)
- **Enumerated:** April 19, 2018
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** BP10063741 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1500 RED RIVER ST, Austin, TX 78701-1918
- **Phone:** (512) 324-8355
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Seton Family Of Doctors (NPI 1588997233, Austin, TX); Central Texas Community Health Centers (NPI 1427882091, Austin, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** April 19, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1518454032) · Data from the CMS NPPES public registry.