KARTHIK GURUMURTHY MD
NPI 1700231099
Family Medicine in Houston, TX

Q: What is Karthik Gurumurthy's NPI number?

The NPI number for Karthik Gurumurthy is 1700231099. It was assigned to this individual provider in the NPPES registry on April 25, 2016.

Q: What is Karthik Gurumurthy's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since April 25, 2016PECOS EnrolledAccepts Medicare Assignment

91.34/100

CMS Quality Rating

1100 W 34TH ST, HOUSTON, TX 77018(713) 861-3939 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 17, 2025, Feb 27, 2023, Dec 8, 2022 and 3 more (6 updates tracked since 2019).

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About Karthik Gurumurthy Md NPPES

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

KARTHIK GURUMURTHY MD (NPI 1700231099) is an individual family medicine provider in Houston, Texas, licensed in Texas (S2322) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Harris Health System, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1700231099

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameKARTHIK GURUMURTHYCredential: MD

Location Address1100 W 34TH STHouston, TX 77018-6206

Mailing Address3701 Kirby Dr Ste 600Houston, TX 77098-3926 · (713) 798-4098

Phone(713) 861-3939

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateApril 25, 2016

Last NPPES UpdateSeptember 17, 20256 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2025

✔ NPI 1700231099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in TX · S2322✔ Licensed in NM · MD2019-0599

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedInternal MedicineTaxonomy 207R00000X · License S2322 (TX)

Also ListedHospitalistTaxonomy 208M00000X · License S2322 (TX)

1100 W 34TH ST, Houston, TX 77018

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Secondary Practice Locations 4

Location 12401 Yale StHouston, TX 77008-2507 · Phone (832) 536-1124

Location 217200 St Lukes WayThe Woodlands, TX 77384-8007 · Phone (936) 266-2000

Location 33811 Lyons AveHouston, TX 77020-8306 · Phone (832) 548-5400

Location 420171 Chasewood Park DrHouston, TX 77070-1437 · Phone (832) 534-5000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Karthik Gurumurthy 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 ID1658663331

PECOS Enrollment IDI20190726001636

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.

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.

271 services129 patients

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.

125 services78 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

73 services68 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.

64 services62 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.

50 services50 patients

Hospital Affiliations CMS Care Compare 2

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

Harris Health System

Acute Care Hospitals · Houston, TX

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450289

Location2525 Holly HallHouston, TX 77054 · Harris County

Emergency services Birthing friendly

St Luke's The Woodlands Hospital

Acute Care Hospitals · The Woodlands, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450862

Location17200 St Luke's WayThe Woodlands, TX 77384 · Montgomery County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77018 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

$90.40 typical visit price

range $58.24 – $176.98

Typical copayment $22.60 (range $14.56 – $44.24)

Most-billed visit code 99203

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

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.

91.34/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

81.64

Promoting Interoperability

89.13

Improvement Activities

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.

ERIC WARWICK MD

Family Medicine