Dr Carlos Omar Encarnacion, MD - Medicare Thoracic Surgery in Houston, TX

Dr Carlos Omar Encarnacion, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Houston, Texas. He went to Texas Tech University Health Science Center School Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Thoracic Surgery. He is a member of the group practice Specialty Associates Of West Houston Pllc and his current practice location is 1313 Hermann Dr, Houston, Texas. You can reach out to his office (for appointments etc.) via phone at (713) 527-5000.

Dr Carlos Omar Encarnacion is licensed to practice in Texas (license number S2025) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1508132812.

Contact Information

Dr Carlos Omar Encarnacion, MD
1313 Hermann Dr,
Houston, TX 77004-7005
(713) 527-5000
Not Available

Map and Direction




Physician's Profile

Full NameDr Carlos Omar Encarnacion
GenderMale
SpecialityThoracic Surgery
Experience11 Years
Location1313 Hermann Dr, Houston, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Carlos Omar Encarnacion attended and graduated from Texas Tech University Health Science Center School Of Medicine in 2013
  NPI Data:
  • NPI Number: 1508132812
  • Provider Enumeration Date: 03/30/2012
  • Last Update Date: 07/01/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 1355660879
  • Enrollment ID: I20190820003192

Medical Identifiers

Medical identifiers for Dr Carlos Omar Encarnacion such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508132812NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) S2025 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kingwood Medical CenterKingwood, TXHospital
Park Plaza HospitalHouston, TXHospital
Hca Houston Healthcare TomballTomball, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Specialty Associates Of West Houston Pllc6800056177127

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Carlos Omar Encarnacion allows following entities to bill medicare on his behalf.
Entity NameSpecialty Associates Of West Houston Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699062349
PECOS PAC ID: 6800056177
Enrollment ID: O20120322000728

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Carlos Omar Encarnacion is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Carlos Omar Encarnacion, MD
118 Shenandoah Dr Ste A,
Shenandoah, TX 77381-1203

Ph: (281) 583-4000
Dr Carlos Omar Encarnacion, MD
1313 Hermann Dr,
Houston, TX 77004-7005

Ph: (713) 527-5000

Reviews and Comments


Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Houston, TX

Dr. Michael S Sweeney, M.D.,
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 6400 Fannin St, Ste 3000, Houston, TX 77030
Phone: 713-790-0841    Fax: 713-790-1350
Eyal E Porat, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 1200 Binz St Ste 900, Houston, TX 77004
Phone: 713-522-0220    Fax: 833-989-1160
Dr. Michael Troncone, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Not Enrolled in Medicare
Practice Location: 6411 Fannin St, Houston, TX 77030
Phone: 647-960-6975    
Stephen G. Swisher, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 1515 Holcombe Blvd, Houston, TX 77030
Phone: 713-792-6161    
Dr. Steven B. Eisenberg, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 6411 Fannin St, Houston, TX 77030
Phone: 713-850-1190    Fax: 713-850-1327
Mahesh Ramchandani, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 6550 Fannin St, Suite 1401, Houston, TX 77030
Phone: 713-441-5200    Fax: 713-793-7428
David A. Ott, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Not Enrolled in Medicare
Practice Location: 1101 Bates Ave, P115, Houston, TX 77030
Phone: 832-355-4900    Fax: 832-355-3770

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.