Lily Romero Karam, MD
NPI 1801318258 · Rheumatology Physician · Houston, TX
Enrolled with Medicare as Practitioner - Rheumatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lily Romero Karam, MD is a Rheumatology Physician provider in Houston, TX (NPI 1801318258).
Provider details
- NPI number
- 1801318258
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- T4674 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
8 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
415 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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 High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 205 | $182 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 57 | $223 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 43 | $116 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 40 | $16 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 33 | $129 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 15 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 158 | 54 |
| Hydroxychloroquine Sulfate | 76 | 26 |
| Methotrexate Sodiumbrand: Methotrexate | 71 | 17 |
| Celecoxib | 60 | 18 |
| Gabapentin | 42 | — |
| Allopurinol | 35 | 11 |
| Leflunomide | 29 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$737 across 38 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-07-07
- Last updated
- 2026-04-17
- Certified
- 2026-04-17
Frequently asked questions
- What is Lily Romero Karam's NPI number?
- Lily Romero Karam's National Provider Identifier (NPI) is 1801318258, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lily Romero Karam's specialty?
- Lily Romero Karam is listed in the NPPES registry with a primary specialty of Rheumatology Physician (Allopathic & Osteopathic Physicians).
- Where is Lily Romero Karam located?
- Lily Romero Karam's practice location on file with NPPES is 9230 Katy Fwy Ste 410, Houston, TX 77055-7468.
- What is Lily Romero Karam's phone number?
- The practice phone number listed in the NPPES registry for Lily Romero Karam is (832) 404-6400.
- Does Lily Romero Karam accept Medicare?
- Lily Romero Karam is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Lily Romero Karam's NPI active?
- Yes — Lily Romero Karam's NPI (1801318258) is active in the NPPES registry as of the last update on 2026-04-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.