Vijay Karia, M.D.
NPI 1205042173 · Rheumatology Physician · Houston, TX
Enrolled with Medicare as Practitioner - Rheumatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Vijay Karia, M.D. is a Rheumatology Physician provider in Houston, TX (NPI 1205042173).
Provider details
- NPI number
- 1205042173
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- P5092 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
609 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 460 | $138 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 103 | $179 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 31 | $236 |
| Injection of Drug Or Substance Under Skin Or Into Muscle96372 | 15 | $15 |
Typical Medicare-allowed amounts for these services range $15–$236 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 29 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 323 | 124 |
| Methotrexate Sodiumbrand: Methotrexate | 238 | 74 |
| Hydroxychloroquine Sulfate | 226 | 103 |
| Gabapentin | 145 | 45 |
| Duloxetine Hcl | 129 | 50 |
| Leflunomide | 76 | 28 |
| Folic Acid | 72 | 27 |
Practice location
Mailing address
Additional practice locations (1)
- 1327 Troup HwyTyler, TX 75701-4443Phone: (903) 606-6533
Registry dates
- Enumerated
- 2007-05-15
- Last updated
- 2026-02-23
- Certified
- 2026-02-23
Frequently asked questions
- What is Vijay Karia's NPI number?
- Vijay Karia's National Provider Identifier (NPI) is 1205042173, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Vijay Karia's specialty?
- Vijay Karia is listed in the NPPES registry with a primary specialty of Rheumatology Physician (Allopathic & Osteopathic Physicians).
- Where is Vijay Karia located?
- Vijay Karia's practice location on file with NPPES is 10111 Grant Rd, Houston, TX 77070-4534.
- What is Vijay Karia's phone number?
- The practice phone number listed in the NPPES registry for Vijay Karia is (281) 573-0005.
- Does Vijay Karia accept Medicare?
- Vijay Karia is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Vijay Karia's NPI active?
- Yes — Vijay Karia's NPI (1205042173) is active in the NPPES registry as of the last update on 2026-02-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.