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RAMESH R KARIA MD
NPI 1699877795
Internal Medicine - Hematology & Oncology in Port Arthur, TX

Active since September 01, 2006PECOS EnrolledAccepts Medicare Assignment
3800 HIGHWAY 365 STE 165, PORT ARTHUR, TX 77642(409) 983-2026(409) 983-2027 Get Directions Write a Review

NPPES record last updated: March 19, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ramesh R Karia Md NPPES

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

RAMESH R KARIA MD (NPI 1699877795) is an individual hematology & oncology provider in Port Arthur, Texas, licensed in Texas (F2746) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Christus Southeast Texas- St Elizabeth, and is a graduate of Other (1971).

NPPES Registry Identity

NPI1699877795
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameRAMESH R KARIACredential: MD
Location Address3800 HIGHWAY 365 STE 165Port Arthur, TX 77642-7568
Mailing Address3800 Highway 365 Ste 165Port Arthur, TX 77642-7568 · (409) 983-2026 · Fax (409) 983-2027
Phone(409) 983-2026
Fax(409) 983-2027
Sole ProprietorYes
Medical School CMSOtherGraduated 1971
Enumeration DateSeptember 1, 2006
Last NPPES UpdateMarch 19, 2020
NPPES CertifiedMarch 19, 2020
✔ NPI 1699877795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in TX · F2746
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
3800 HIGHWAY 365 STE 165, Port Arthur, TX 77642
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Other Identifiers 1

Medicaid128150301TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Molina Healthcare and more.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

Ramesh R Karia 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.

PECOS PAC ID5193858009
PECOS Enrollment IDI20100729000141
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 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
187 services52 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
133 services35 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
47 services39 patients
Biopsy and aspiration of bone marrow sample for diagnosis 38222
A bone marrow biopsy and aspiration is a procedure where a small amount of bone marrow is removed for testing. It involves inserting a needle into a bone, typically the hip, to collect a sample. It can help diagnose various diseases and monitor treatment effectiveness.
24 services24 patients
Bone marrow, smear interpretation 85097
Bone marrow smear interpretation is a procedure where a small sample of your bone marrow is taken and examined under a microscope. This helps doctors identify any abnormal cells or signs of diseases such as anemia, leukemia, or infections. It's a crucial step in diagnosing various blood disorders.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Christus Southeast Texas- St Elizabeth

Acute Care Hospitals · Beaumont, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450034
Location2830 Calder AvenueBeaumont, TX 77702 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77642 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
$164.93 typical visit price
range $54.04 – $164.93
Typical copayment $41.23 (range $13.51 – $41.23)
Most-billed visit code 99205
Established Patient
$95.83 typical visit price
range $17.17 – $134.47
Typical copayment $23.95 (range $4.29 – $33.61)
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.

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 Ramesh Karia's NPI number?

The NPI number for Ramesh Karia is 1699877795. It was assigned to this individual provider in the NPPES registry on September 1, 2006.

Where is Ramesh Karia located?

Ramesh Karia practices at 3800 Highway 365 Ste 165, Port Arthur, TX 77642. The listed phone number is (409) 983-2026.

What is Ramesh Karia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Ramesh Karia enrolled in Medicare?

Yes. Ramesh Karia 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 Ramesh Karia accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Molina Healthcare and UnitedHealthcare list Ramesh Karia 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 Ramesh Karia affiliated with any hospitals?

According to CMS data, Ramesh Karia is affiliated with Christus Southeast Texas- St Elizabeth.

When was this NPI record last updated?

The NPPES record for Ramesh Karia was last updated on March 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.