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DR. KAROMIBAL MEJIA M.D
NPI 1861750044
Internal Medicine - Cardiovascular Disease in Richmond, TX

Active since April 25, 2012PECOS EnrolledAccepts Medicare Assignment
76.82/100
CMS Quality Rating
1601 MAIN ST STE 301, RICHMOND, TX 77469(832) 945-3181(281) 781-2489 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 5, 2025, Jul 26, 2022, May 6, 2020 and 2 more (5 updates tracked since 2019).

About Dr. Karomibal Mejia M.d NPPES

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

DR. KAROMIBAL MEJIA M.D (NPI 1861750044) is an individual cardiovascular disease provider in Richmond, Texas, licensed in Texas (S1183) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Oakbend Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1861750044
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. KAROMIBAL MEJIACredential: M.D
Location Address1601 MAIN ST STE 301Richmond, TX 77469-3230
Mailing Address1601 Main St Ste 301Richmond, TX 77469-3230 · (832) 945-3181 · Fax (281) 781-2489
Phone(832) 945-3181
Fax(281) 781-2489
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateApril 25, 2012
Last NPPES UpdateFebruary 5, 20255 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2025
✔ NPI 1861750044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in TX · S1183
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License S1183 (TX)
1601 MAIN ST STE 301, Richmond, TX 77469
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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Karomibal Mejia 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 ID5395079842
PECOS Enrollment IDI20190703000234
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

3

Medicare enrollment records show Karomibal Mejia reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Comme Cardiovascular PLLC
Same address
Interventional Cardiology
1601 MAIN ST STE 301
Richmond, TX 77469
  • Reassigned Medicare billing, Texas enrollment
  • 2 clinicians in this Medicare group
NPI 1578102000 (832) 300-9000
Oakbend Medical Group
5.4 mi
Family Medicine
4911 SANDHILL DR
Sugar Land, TX 77479
  • Reassigned Medicare billing, Texas enrollment
  • 66 clinicians in this Medicare group
NPI 1366480725 (281) 238-7870
Murray-Calloway County Public Hospital Corporation
649 mi
Rural
803 POPLAR ST
Murray, KY 42071
  • Reassigned Medicare billing, Kentucky enrollment
  • 99 clinicians in this Medicare group
NPI 1063549814 (270) 762-1287

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 8

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.
131 services76 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
85 services82 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
72 services72 patients
Heart muscle strain imaging 93356
Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.
71 services71 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
46 services46 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
40 services40 patients

Hospital Affiliations CMS Care Compare 2

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

Oakbend Medical Center

Acute Care Hospitals · Richmond, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450330
Location1705 Jackson StRichmond, TX 77469 · Fort Bend County
Emergency services Birthing friendly

Memorial Hermann Sugar Land Hospital

Acute Care Hospitals · Sugar Land, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450848
Location17500 W Grand Parkway SouthSugar Land, TX 77479 · Fort Bend County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77469 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
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
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.

76.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.18
Promoting Interoperability99
Improvement Activities40
Cost49.4

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COMME CARDIOVASCULAR PLLC
Internal Medicine (Interventional Cardiology)
1601 MAIN ST STE 301
RICHMOND, TX 77469
Fort Bend County (832) 300-9000
DR. JULIO C. MOLINA M.D.
Family Medicine
1601 MAIN ST STE 301
RICHMOND, TX 77469
Fort Bend County (281) 342-6595

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 Karomibal Mejia's NPI number?

The NPI number for Karomibal Mejia is 1861750044. It was assigned to this individual provider in the NPPES registry on April 25, 2012.

Where is Karomibal Mejia located?

Karomibal Mejia practices at 1601 Main St Ste 301, Richmond, TX 77469. The listed phone number is (832) 945-3181.

What is Karomibal Mejia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Karomibal Mejia enrolled in Medicare?

Yes. Karomibal Mejia 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 Karomibal Mejia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karomibal Mejia reassigns Medicare benefits to 3 organizations: Comme Cardiovascular PLLC (Richmond, TX), Oakbend Medical Group (Sugar Land, TX) and Murray-Calloway County Public Hospital Corporation (Murray, KY). 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 Karomibal Mejia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karomibal Mejia 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 Karomibal Mejia 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 Karomibal Mejia affiliated with any hospitals?

According to CMS data, Karomibal Mejia is affiliated with Oakbend Medical Center and Memorial Hermann Sugar Land Hospital.

When was this NPI record last updated?

The NPPES record for Karomibal Mejia was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.