ADAM KARMALI D.O.
NPI 1679006480
Internal Medicine in Richardson, TX

Active since April 07, 2017PECOS EnrolledAccepts Medicare Assignment
2831 E PRESIDENT GEORGE BUSH HWY, RICHARDSON, TX 75082(469) 204-2021(469) 204-2036 Get Directions Write a Review

NPPES record last updated: August 30, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 30, 2022, Aug 3, 2022, Jul 9, 2021 and 1 more (4 updates tracked since 2021).

About Adam Karmali D.o. NPPES

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

ADAM KARMALI D.O. (NPI 1679006480) is an individual internal medicine provider in Richardson, Texas, licensed in Texas (T8242) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Methodist Richardson Medical Center, and is a graduate of Rocky Vista University College Of Osteopathic Med (2017).

NPPES Registry Identity

NPI1679006480
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameADAM KARMALICredential: D.O.
Location Address2831 E PRESIDENT GEORGE BUSH HWYRichardson, TX 75082-3561
Mailing Address2831 E President George Bush HwyRichardson, TX 75082-3561 · (469) 204-2021 · Fax (469) 204-2036
Fax(469) 204-2036
Sole ProprietorYes
Medical School CMSRocky Vista University College Of Osteopathic MedGraduated 2017
Enumeration DateApril 7, 2017
Last NPPES UpdateAugust 30, 20224 updates tracked since enumeration
NPPES CertifiedAugust 30, 2022
NPI 1679006480 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 · T8242
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.
2831 E PRESIDENT GEORGE BUSH HWY, Richardson, TX 75082

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

Adam Karmali D.o. 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 ID3173891934
PECOS Enrollment IDI20220815003127
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 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.
525 services242 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.
473 services216 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.
284 services273 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.
263 services252 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
97 services20 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
19 services16 patients

Hospital Affiliations CMS Care Compare

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

Methodist Richardson Medical Center

Acute Care Hospitals · Richardson, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450537
Location2831 E President George Bush HighwayRichardson, TX 75082 · Collin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75082 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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 suppliers19 claims20 services$17.33 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 suppliers19 claims20 services$85.93 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Pharmacist
2831 E PRESIDENT GEORGE BUSH HWY
RICHARDSON, TX 75082
General Acute Care Hospital
2831 E PRESIDENT GEORGE BUSH HWY
RICHARDSON, TX 75082
Internal Medicine
2831 E PRESIDENT GEORGE BUSH HWY
RICHARDSON, TX 75082
Physical Therapist
2831 E PRESIDENT GEORGE BUSH HWY
RICHARDSON, TX 75082
Radiology (Diagnostic Radiology)
2831 E PRESIDENT GEORGE BUSH HWY
RICHARDSON, TX 75082
Emergency Medicine
2831 E PRESIDENT GEORGE BUSH HWY
RICHARDSON, TX 75082
Internal Medicine
2831 E PRESIDENT GEORGE BUSH HWY
RICHARDSON, TX 75082
Emergency Medicine
2831 E PRESIDENT GEORGE BUSH HWY, EMERGENCY DEPARTMENT
RICHARDSON, TX 75082

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 Adam Karmali's NPI number?

The NPI number for Adam Karmali is 1679006480. It was assigned to this individual provider in the NPPES registry on April 7, 2017.

Where is Adam Karmali located?

Adam Karmali practices at 2831 E President George Bush Hwy, Richardson, TX 75082. The listed phone number is (469) 204-2021.

What is Adam Karmali's specialty?

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

Is Adam Karmali enrolled in Medicare?

Yes. Adam Karmali 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 Adam Karmali accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 6 other insurers list Adam Karmali 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 Adam Karmali affiliated with any hospitals?

According to CMS data, Adam Karmali is affiliated with Methodist Richardson Medical Center.

When was this NPI record last updated?

The NPPES record for Adam Karmali was last updated on August 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.