DR. CAROLINE NJERI MBOGUA MD
NPI 1942221148
Internal Medicine in Houston, TX

Q: What is Caroline Mbogua's NPI number?

The NPI number for Caroline Mbogua is 1942221148. It was assigned to this individual provider in the NPPES registry on July 22, 2006.

Q: What is Caroline Mbogua's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Caroline Mbogua was last updated on February 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since July 22, 2006PECOS Enrolled

4545 POST OAK PLACE DR, SUITE 130, HOUSTON, TX 77027(713) 960-8008(713) 960-0965 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Caroline Njeri Mbogua Md NPPES

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

DR. CAROLINE NJERI MBOGUA MD (NPI 1942221148) is an individual internal medicine provider in Houston, Texas, licensed in Texas (J0775) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Howard University College Of Medicine (1989).

NPPES Registry Identity

NPI1942221148

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. CAROLINE NJERI MBOGUACredential: MD

Location Address4545 POST OAK PLACE DR, SUITE 130Houston, TX 77027-3164

Mailing Address4545 Post Oak Place Dr, Suite 130Houston, TX 77027-3164 · (713) 960-8008 · Fax (713) 960-0965

Phone(713) 960-8008

Fax(713) 960-0965

Sole ProprietorYes

Medical School CMSHoward University College Of MedicineGraduated 1989

Enumeration DateJuly 22, 2006

Last NPPES UpdateFebruary 10, 2026

NPPES CertifiedFebruary 10, 2026

✔ NPI 1942221148 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 · J0775

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.

4545 POST OAK PLACE DR, Houston, TX 77027

Open in Google Maps ↗

Other Identifiers 2

Medicaid136461406TX

Other2189244TX · Aetna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Caroline Njeri Mbogua Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840240453

PECOS Enrollment IDI20260602002359

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

Medicare enrollment records show Caroline Mbogua reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hmc Medical Associates, PLLC

7.0 mi

Multi-Specialty

9889 BELLAIRE BLVD STE E219A
Houston, TX 77036

Reassigned Medicare billing, Texas enrollment
5 clinicians in this Medicare group

NPI 1437231008 (713) 272-6688

Furaha Health Center LLC

12 mi

Internal Medicine

8121 BROADWAY ST STE 109
Houston, TX 77061

Reassigned Medicare billing, Texas enrollment

NPI 1376415117 (737) 677-3831

Cs Pacs 3 Southwest, LLC

25 mi

Hospitalist

5800 W BAKER RD
Baytown, TX 77520

Reassigned Medicare billing, Texas enrollment
131 clinicians in this Medicare group

NPI 1275398430 (281) 425-1200

Ipc Healthcare Services Of Texas, PLLC

184 mi

Hospitalist

7330 SAN PEDRO AVE, STE 540
San Antonio, TX 78216

Reassigned Medicare billing, Texas enrollment
688 clinicians in this Medicare group

NPI 1023403011 (210) 344-7287

Lonestar Hospital Medicine Associates, PA

217 mi

Hospitalist

2700 E BROAD ST
Mansfield, TX 76063

Reassigned Medicare billing, Texas enrollment
994 clinicians in this Medicare group

NPI 1518237429 (682) 622-2000

Ipc Pac Healthcare Services Of Texas PLLC

235 mi

Hospitalist

14131 MIDWAY RD, SUITE 620
Addison, TX 75001

Reassigned Medicare billing, Texas enrollment
142 clinicians in this Medicare group

NPI 1194174201 (972) 249-0200

Nv Pacs 2 LLC

1,233 mi

Hospitalist

10550 PARK RUN DR
Las Vegas, NV 89144

Reassigned Medicare billing, Texas enrollment
143 clinicians in this Medicare group

NPI 1427534809 (865) 693-1000

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 14

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.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

657 services57 patients

Therapy procedure using manual technique, each 15 minutes 97140

This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.

627 services57 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

299 services48 patients

Application of electrical stimulation with therapist present, each 15 minutes 97032

Electrical stimulation is a therapeutic treatment that sends light electrical pulses to a specific area of your body. This is done under the supervision of a therapist for 15-minute intervals. It can reduce pain, stimulate muscles, and improve circulation.

190 services50 patients

Evaluation for physical therapy, typically 30 minutes 97162

An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.

88 services53 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

76 services45 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

43 services26 patients

Therapy procedure using functional activities 97530

A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.

40 services30 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

37 services18 patients

Therapy procedure for walking training, each 15 minutes 97116

Walking training therapy is a process to improve your ability to walk. It's a 15-minute session where you'll practice walking with the help of devices or exercises. It aims to enhance balance, strength, coordination, and endurance.

32 services27 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.

27 services23 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

25 services25 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

24 services14 patients

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112

This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.

19 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77027 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

$134.06 typical visit price

range $58.24 – $176.98

Typical copayment $33.51 (range $14.56 – $44.24)

Most-billed visit code 99204

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.

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…

100%221 patients5/55-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.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314

DME-Orthotic Devices · category DF000N

1 supplier13 claims13 services$24.29 avg. paid by Medicare

Urinary catheter anchoring device, adhesive skin attachment, each A4333

DME-Orthotic Devices · category DF000N

1 supplier20 claims240 services$2.13 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

1 supplier25 claims31 services$7.94 avg. paid by Medicare

Adhesive remover, wipes, any type, each A4456

DME-Medical/Surgical Supplies · category DA000N

1 supplier16 claims775 services$0.23 avg. paid by Medicare

Skin barrier, wipes or swabs, each A5120

DME-Orthotic Devices · category DF010N

1 supplier16 claims550 services$0.23 avg. paid by Medicare

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196

DME-Medical/Surgical Supplies · category DA023N

2 suppliers29 claims1,381 services$7.13 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

STELLA FITZGIBBONS M.D.

Internal Medicine

4545 POST OAK PLACE DR, SUITE 130
HOUSTON, TX 77027

Harris County (713) 960-8008

JASMIN BALEVA M.D.

Internal Medicine

4545 POST OAK PLACE DR, SUITE 130
HOUSTON, TX 77027

Harris County (713) 960-8008

KATHLEEN PROVENCHER N.P

Nurse Practitioner (Acute Care)

4545 POST OAK PLACE DR, SUITE 130
HOUSTON, TX 77027

Harris County (713) 960-8008

ROMEL NAVARRO M.D.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

4545 POST OAK PLACE DR, SUITE 130
HOUSTON, TX 77027

Harris County (713) 960-8008

ANH NGUYEN M.D.

Internal Medicine

4545 POST OAK PLACE DR, SUITE 130
HOUSTON, TX 77027

Harris County (713) 960-8008

INPATIENT CONSULTANTS OF TEXAS, PLLC

Internal Medicine

4545 POST OAK PLACE DR, 130
HOUSTON, TX 77027

Harris County (713) 960-8008

SRIJHANSI ADUSUMILLI M.D.

Internal Medicine

4545 POST OAK PLACE DR, SUITE 130
HOUSTON, TX 77027

Harris County (713) 960-8008

RACHEL E VILLARREAL GNP

Nurse Practitioner (Gerontology)

4545 POST OAK PLACE DR, SUITE 130
HOUSTON, TX 77027

Harris County (713) 960-8008

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 Caroline Mbogua's NPI number?

The NPI number for Caroline Mbogua is 1942221148. It was assigned to this individual provider in the NPPES registry on July 22, 2006.

Where is Caroline Mbogua located?

Caroline Mbogua practices at 4545 Post Oak Place Dr Suite 130, Houston, TX 77027. The listed phone number is (713) 960-8008.

What is Caroline Mbogua's specialty?

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

Is Caroline Mbogua enrolled in Medicare?

Yes. Caroline Mbogua is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Caroline Mbogua's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caroline Mbogua reassigns Medicare benefits to 7 organizations: Hmc Medical Associates, PLLC (Houston, TX), Furaha Health Center LLC (Houston, TX), Cs Pacs 3 Southwest, LLC (Baytown, TX), Ipc Healthcare Services Of Texas, PLLC (San Antonio, TX), Lonestar Hospital Medicine Associates, PA (Mansfield, TX) and 2 more organizations, listed in the Medicare section above. 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 Caroline Mbogua's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Caroline Mbogua accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Texas list Caroline Mbogua 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.

When was this NPI record last updated?

The NPPES record for Caroline Mbogua was last updated on February 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.