DR. SATHISH KARMEGAM M.D.
NPI 1528268331
Internal Medicine in Denton, TX

Active since July 19, 2007PECOS EnrolledAccepts Medicare Assignment
3537 S INTERSTATE 35 E BLDG STE 320, DENTON, TX 76210(214) 851-1777(855) 576-4130 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 26, 2025, Apr 2, 2025, Feb 26, 2021 and 5 more (8 updates tracked since 2017).

About Dr. Sathish Karmegam M.d. NPPES

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

DR. SATHISH KARMEGAM M.D. (NPI 1528268331) is an individual internal medicine provider in Denton, Texas, licensed in Texas (R3694) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Medical City Denton, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1528268331
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. SATHISH KARMEGAMCredential: M.D.
Location Address3537 S INTERSTATE 35 E BLDG STE 320Denton, TX 76210-6800
Mailing Address4147 Buckner AveIrving, TX 75063-1218 · (702) 273-9979
Fax(855) 576-4130
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 19, 2007
Last NPPES UpdateJune 26, 20258 updates tracked since enumeration
NPPES CertifiedJune 26, 2025
✔ NPI 1528268331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · R3694
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.
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X · License R3694 (TX)
3537 S INTERSTATE 35 E BLDG STE 320, Denton, TX 76210

Other Identifiers 2

Medicaid532400AZ
Medicaid376051405TX

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

Dr. Sathish Karmegam 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 ID3577689470
PECOS Enrollment IDI20170923000134
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

9

Medicare enrollment records show Sathish Karmegam reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Internal Medicine
3537 S INTERSTATE 35 E STE 311
Denton, TX 76210
  • Reassigned Medicare billing, Texas enrollment
  • 2 clinicians in this Medicare group
Internal Medicine
3537 S INTERSTATE 35 E STE 311
Denton, TX 76210
  • Reassigned Medicare billing, Texas enrollment
Internal Medicine
3537 S INTERSTATE 35 E STE 311
Denton, TX 76210
  • Reassigned Medicare billing, Texas enrollment
  • 5 clinicians in this Medicare group
Primary Care
3800 NORTH TARRANT PARKWAY, SUITE 210
Fort Worth, TX 76244
  • Reassigned Medicare billing, Texas enrollment
  • 18 clinicians in this Medicare group
Emergency Medicine
7777 FOREST LN
Dallas, TX 75230
  • Reassigned Medicare billing, Texas enrollment
  • 486 clinicians in this Medicare group
Internal Medicine
1500 S MAIN ST
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • 985 clinicians in this Medicare group
Hospitalist
2700 E BROAD ST
Mansfield, TX 76063
  • Reassigned Medicare billing, Texas enrollment
  • 994 clinicians in this Medicare group
Internal Medicine
18951 N MEMORIAL DR
Humble, TX 77338
  • Reassigned Medicare billing, Texas enrollment
  • 2,009 clinicians in this Medicare group
Hospitalist
16100 SOUTH FWY
Pearland, TX 77584
  • Reassigned Medicare billing, Texas enrollment
  • 121 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 7

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.
514 services201 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.
202 services194 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.
162 services159 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
86 services53 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
40 services39 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
31 services26 patients

Hospital Affiliations CMS Care Compare

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

Medical City Denton

Acute Care Hospitals · Denton, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450634
Location3535 South I35 EastDenton, TX 76210 · Denton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76210 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Reported Quality Measures

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…
97%34 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 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers25 claims25 services$11.90 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers27 claims27 services$49.32 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$25.18 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Sathish Karmegam's NPI number?

The NPI number for Sathish Karmegam is 1528268331. It was assigned to this individual provider in the NPPES registry on July 19, 2007.

Where is Sathish Karmegam located?

Sathish Karmegam practices at 3537 S Interstate 35 E Bldg Ste 320, Denton, TX 76210. The listed phone number is (214) 851-1777.

What is Sathish Karmegam's specialty?

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

Is Sathish Karmegam enrolled in Medicare?

Yes. Sathish Karmegam 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 Sathish Karmegam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sathish Karmegam reassigns Medicare benefits to 9 organizations: Firstmdvip PLLC (Denton, TX), Texan House Calls PLLC (Denton, TX), Texan Primary Care PLLC (Denton, TX), Be Well Primary Care Medicine PLLC (Fort Worth, TX), Questcare Hospitalists PLLC (Dallas, TX) and 4 more organizations, listed in the Medicare section above. 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 Sathish Karmegam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sathish Karmegam 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 4 other insurers list Sathish Karmegam 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 Sathish Karmegam affiliated with any hospitals?

According to CMS data, Sathish Karmegam is affiliated with Medical City Denton.

When was this NPI record last updated?

The NPPES record for Sathish Karmegam was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.