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KARLA A SEPULVEDA MD
NPI 1871689059
Radiology - Diagnostic Radiology in Houston, TX

Active since October 05, 2006PECOS EnrolledAccepts Medicare Assignment
84.05/100
CMS Quality Rating
1919 OLD SPANISH TRL FL 8, HOUSTON, TX 77054(713) 798-4417 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Karla A Sepulveda Md NPPES

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

KARLA A SEPULVEDA MD (NPI 1871689059) is an individual diagnostic radiology provider in Houston, Texas, licensed in Texas (L3816) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Chi St Luke's Health Baylor College Of Medicine Me, and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1871689059
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameKARLA A SEPULVEDACredential: MD
Location Address1919 OLD SPANISH TRL FL 8Houston, TX 77054-2003
Mailing Address1 Baylor Plz Rm 165bHouston, TX 77030-3411 · (713) 798-4438
Phone(713) 798-4417
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 1999
Enumeration DateOctober 5, 2006
Last NPPES UpdateApril 15, 2025
NPPES CertifiedApril 15, 2025
✔ NPI 1871689059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in TX · L3816
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1919 OLD SPANISH TRL FL 8, Houston, TX 77054
Open in Google Maps ↗

Secondary Practice Location 1

Location 115655 Cypresswoods Medical DrHOUSTON, TX 77014-1471 · Phone (713) 442-0000

Other Identifiers 4

Medicaid172937804TX
Medicaid172937802TX
Medicaid172937803TX
Medicaid172937801TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice, 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

Karla A Sepulveda 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 ID9638110521
PECOS Enrollment IDI20050520000661
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 9

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.

Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
173 services173 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
172 services172 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
76 services76 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
67 services67 patients
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279
Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.
50 services48 patients
Limited ultrasound scan of 1 breast 76642
A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.
31 services31 patients

Hospital Affiliations CMS Care Compare

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

Chi St Luke's Health Baylor College Of Medicine Me

Acute Care Hospitals · Houston, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450193
Location6720 Bertner Ave, Ste Mc1-266Houston, TX 77030 · Harris County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77054 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
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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.

84.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.49
Improvement Activities40
Cost54.39

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.

CHARLES OSBORNE MD
Internal Medicine (Hematology & Oncology)
1919 OLD SPANISH TRL FL 8
HOUSTON, TX 77054
Harris County (832) 957-6500
CHEY FRENCH MS-PA
Physician Assistant
1919 OLD SPANISH TRL FL 8
HOUSTON, TX 77054
Harris County (832) 957-6500

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 Karla Sepulveda's NPI number?

The NPI number for Karla Sepulveda is 1871689059. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Karla Sepulveda located?

Karla Sepulveda practices at 1919 Old Spanish Trl Fl 8, Houston, TX 77054. The listed phone number is (713) 798-4417.

What is Karla Sepulveda's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Karla Sepulveda enrolled in Medicare?

Yes. Karla Sepulveda 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 Karla Sepulveda accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare, Sendero Health Plans, Local Nonprofit and UnitedHealthcare and 1 other insurer list Karla Sepulveda 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 Karla Sepulveda affiliated with any hospitals?

According to CMS data, Karla Sepulveda is affiliated with Chi St Luke's Health Baylor College Of Medicine Me.

When was this NPI record last updated?

The NPPES record for Karla Sepulveda was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.