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KARIM HERAS
NPI 1942902861
Family Medicine in Victoria, TX

Active since March 22, 2023PECOS Enrolled
601 E SAN ANTONIO ST STE 304W, VICTORIA, TX 77901(361) 579-8495(361) 579-8690 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 26, 2026, Mar 22, 2023 (2 updates tracked since 2023).

About Karim Heras NPPES

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

KARIM HERAS (NPI 1942902861) is an individual family medicine provider in Victoria, Texas, licensed in Texas (W5369) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1942902861
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKARIM HERAS
Location Address601 E SAN ANTONIO ST STE 304WVictoria, TX 77901-6051
Mailing Address601 E San Antonio St Ste 304wVictoria, TX 77901-6051 · (631) 579-8495 · Fax (361) 579-8690
Phone(361) 579-8495
Fax(361) 579-8690
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 22, 2023
Last NPPES UpdateAugust 26, 20262 updates tracked since enumeration
NPPES CertifiedAugust 26, 2026
✔ NPI 1942902861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · W5369
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.
601 E SAN ANTONIO ST STE 304W, Victoria, TX 77901
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karim Heras is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416411038
PECOS Enrollment IDI20260714003453
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 Reassignment

Medicare enrollment records show Karim Heras reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Regional Employee Assistance Program Inc
Same address
Internal Medicine
601 E SAN ANTONIO ST STE 403W
Victoria, TX 77901
  • Reassigned Medicare billing, Texas enrollment
  • 318 clinicians in this Medicare group
NPI 1215999511 (361) 788-6003

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77901 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES

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

DIVYATISH PRIMARY CARE HEALTH SERVICES
Internal Medicine
601 E SAN ANTONIO ST STE 304W
VICTORIA, TX 77901
Victoria County (361) 576-3680

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 Karim Heras's NPI number?

The NPI number for Karim Heras is 1942902861. It was assigned to this individual provider in the NPPES registry on March 22, 2023.

Where is Karim Heras located?

Karim Heras practices at 601 E San Antonio St Ste 304W, Victoria, TX 77901. The listed phone number is (361) 579-8495.

What is Karim Heras's specialty?

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

Is Karim Heras enrolled in Medicare?

Yes. Karim Heras is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Karim Heras's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karim Heras reassigns Medicare benefits to Regional Employee Assistance Program Inc (Victoria, TX). The 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 Karim Heras's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karim Heras accept?

Health plans from UnitedHealthcare list Karim Heras 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 Karim Heras was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.