DR. LAKSHMI KARTHIK M.D.
NPI 1932302544
Internal Medicine in Plano, TX

Active since June 09, 2007PECOS EnrolledAccepts Medicare Assignment
3901 W 15TH ST, PLANO, TX 75075(214) 908-1138 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lakshmi Karthik M.d. NPPES

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

DR. LAKSHMI KARTHIK M.D. (NPI 1932302544) is an individual internal medicine provider in Plano, Texas, licensed in Texas (P1882) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Medical City Plano, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1932302544
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. LAKSHMI KARTHIKCredential: M.D.
Location Address3901 W 15TH STPlano, TX 75075-7738
Mailing AddressPo Box 822368Dallas, TX 75382-2368
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateJune 9, 2007
Last NPPES UpdateNovember 1, 2023
NPPES CertifiedNovember 1, 2023
NPI 1932302544 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 · P1882
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.
3901 W 15TH ST, Plano, TX 75075

Other Identifiers 1

Medicaid1022197110001PA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Dr. Lakshmi Karthik 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 ID2264590637
PECOS Enrollment IDI20120821000610
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.
489 services173 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.
132 services131 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.
118 services61 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.
109 services109 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
99 services38 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
54 services48 patients

Hospital Affiliations CMS Care Compare

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

Medical City Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450651
Location3901 W 15th StPlano, TX 75075 · Collin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75075 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
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
92%331 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Radiology (Diagnostic Radiology)
3901 W 15TH ST
PLANO, TX 75075
Radiology (Diagnostic Radiology)
3901 W 15TH ST
PLANO, TX 75075
Emergency Medicine
3901 W 15TH ST
PLANO, TX 75075
Student in an Organized Health Care Education/Training Program
3901 W 15TH ST
PLANO, TX 75075
Anesthesiology
3901 W 15TH ST
PLANO, TX 75075
Student in an Organized Health Care Education/Training Program
3901 W 15TH ST
PLANO, TX 75075
Nurse Practitioner (Neonatal)
3901 W 15TH ST
PLANO, TX 75075
Radiology (Neuroradiology)
3901 W 15TH ST
PLANO, TX 75075

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 Lakshmi Karthik's NPI number?

The NPI number for Lakshmi Karthik is 1932302544. It was assigned to this individual provider in the NPPES registry on June 9, 2007.

Where is Lakshmi Karthik located?

Lakshmi Karthik practices at 3901 W 15th St, Plano, TX 75075. The listed phone number is (214) 908-1138.

What is Lakshmi Karthik's specialty?

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

Is Lakshmi Karthik enrolled in Medicare?

Yes. Lakshmi Karthik 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 Lakshmi Karthik accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Lakshmi Karthik 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 Lakshmi Karthik affiliated with any hospitals?

According to CMS data, Lakshmi Karthik is affiliated with Medical City Plano.

When was this NPI record last updated?

The NPPES record for Lakshmi Karthik was last updated on November 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.