Organization Active NPI

Coastal Gastroenterology Associates, PA

  • Gastroenterology Physician
  • Webster, TX
National Provider Identifier
1043312515
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
COASTAL GASTROENTEROLOGY ASSOCIATES, PA
Practice address
1015 W Medical Center Blvd Ste 1400
Webster, TX 77598-4055
Phone
(281) 557-2527
Fax
(281) 557-7203
NPI assigned
Sep 3, 2006
Last updated
Jun 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Advitya Nonesupplied MalhotraNPI 1609070275
Title
Owner
Phone
(281) 557-2527

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X Primary

Addresses

Primary practice location

1015 W Medical Center Blvd Ste 1400
Webster, TX 77598-4055

Mailing address

1015 W Medical Center Blvd Ste 1400
Webster, TX 77598-4055
Phone (281) 557-2527

Other identifiers 7

IdentifierTypeStateIssuer
B26780OtherMCR UPIN - INDIVIDUAL
4102895OtherAETNA
114758902OtherTXTHMP - DR. SUBRAMANYAM
1164493870OtherNPI - INDIVIDUAL
P00440059OtherRR MCR
5283OtherRR MCR GROUP NUMBER
2226780OtherTXBCBS - TX - BLUE LINK ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070220000668 TX Part B Supplier - Clinic/Group Practice 4789686809 Receives reassigned benefits from 6 practitioners
Practice locations: Webster, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2310026Coastal Gastroenterology Associates1015 W Medical Center Blvd, Ste 1400, Webster, TX 77598ComplianceFeb 2, 2027

National Provider Directory

National Provider Directory

Locations

4002 Garth Rd
Ste 140B
Baytown, TX 77521

17300 El Camino Real
Ste 102A
Houston, TX 77058
Phone (281) 488-2527

1015 W Medical Center Blvd
Ste 1300
Webster, TX 77598
Phone (281) 557-2527

1015 W Medical Center Blvd
Ste 1400
Webster, TX 77598
Phone (281) 338-2861

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HIJIBD

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781481600000",
    "number": "1043312515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 W MEDICAL CENTER BLVD STE 1400",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984055",
            "telephone_number": "281-557-2527",
            "fax_number": "281-557-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 W MEDICAL CENTER BLVD STE 1400",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984055",
            "telephone_number": "281-557-2527",
            "fax_number": "281-557-7203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL GASTROENTEROLOGY ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-03",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A",
        "authorized_official_last_name": "MALHOTRA",
        "authorized_official_first_name": "ADVITYA",
        "authorized_official_middle_name": "NONESUPPLIED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-557-2527",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR UPIN - INDIVIDUAL",
            "identifier": "B26780",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4102895",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THMP - DR. SUBRAMANYAM",
            "identifier": "114758902",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - INDIVIDUAL",
            "identifier": "1164493870",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "P00440059",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR GROUP NUMBER",
            "identifier": "5283",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - TX - BLUE LINK ID",
            "identifier": "2226780",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.