Karen De La Garza, MD
NPI 1518454032 · Internal Medicine Physician · Austin, TX
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Karen De La Garza, MD is a Internal Medicine Physician provider in Austin, TX (NPI 1518454032).
Provider details
- NPI number
- 1518454032
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- BP10063741 (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
8 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
94 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 69 | $77 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 14 | $116 |
| Hospital Discharge Day Management, 30 Minutes Or Less99238 | 11 | $80 |
Typical Medicare-allowed amounts for these services range $77–$116 (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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-04-19
- Last updated
- 2018-04-19
Frequently asked questions
- What is Karen De La Garza's NPI number?
- Karen De La Garza's National Provider Identifier (NPI) is 1518454032, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Karen De La Garza's specialty?
- Karen De La Garza is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Karen De La Garza located?
- Karen De La Garza's practice location on file with NPPES is 1500 Red River St, Austin, TX 78701-1918.
- What is Karen De La Garza's phone number?
- The practice phone number listed in the NPPES registry for Karen De La Garza is (512) 324-8355.
- Does Karen De La Garza accept Medicare?
- Karen De La Garza is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Karen De La Garza's NPI active?
- Yes — Karen De La Garza's NPI (1518454032) is active in the NPPES registry as of the last update on 2018-04-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.