Active NPI
Coastal Gastroenterology Associates, PA
- Gastroenterology Physician
- Webster, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Advitya Nonesupplied Malhotra
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B26780 | Other | MCR UPIN - INDIVIDUAL | |
| 4102895 | Other | AETNA | |
| 114758902 | Other | TX | THMP - DR. SUBRAMANYAM |
| 1164493870 | Other | NPI - INDIVIDUAL | |
| P00440059 | Other | RR MCR | |
| 5283 | Other | RR MCR GROUP NUMBER | |
| 2226780 | Other | TX | BCBS - TX - BLUE LINK ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2310026 | Coastal Gastroenterology Associates | Compliance | Feb 2, 2027 |
National Provider Directory
National Provider DirectoryLocations
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
- 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.
-
- Gastroenterology Physician
- Webster, TX
- NPI 1609070275
-
- Gastroenterology Physician
- Webster, TX
- NPI 1891291811
-
- Gastroenterology Physician
- Webster, TX
- NPI 1427518919
-
- Adult Health Nurse Practitioner
- Webster, TX
- NPI 1346627312
-
- Gastroenterology Physician
- Webster, TX
- NPI 1164493870
-
- Geriatric Medicine (Family Medicine) Physician
- Webster, TX
- NPI 1487625794
-
- Gastroenterology Physician
- Rockledge, FL
- NPI 1518979012
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.