Organization Active NPI

Nameless Medicine PLLC

  • General Practice Physician
  • Friendswood, TX
National Provider Identifier
1063253789
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
NAMELESS MEDICINE PLLC
Practice address
1774 Lake Crest LN
Friendswood, TX 77546-5784
Phone
(281) 446-8484
NPI assigned
Jun 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Authorized official

Name
Stevley Mathews Koshy, DONPI 1659758993
Title
Physician
Phone
(713) 206-0153

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
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1774 Lake Crest LN
Friendswood, TX 77546-5784

Mailing address

1774 Lake Crest LN
Friendswood, TX 77546-5784
Phone (713) 206-0153

Other practice location 1

8450 Will Clayton Pkwy
Humble, TX 77338-5830
Phone (713) 206-0153

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240717001491 TX Part B Supplier - Clinic/Group Practice 5092250795 Receives reassigned benefits from 1 practitioner
Practice locations: Friendswood, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748822400000",
    "number": "1063253789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1774 LAKE CREST LN",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775465784",
            "telephone_number": "713-206-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1774 LAKE CREST LN",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775465784",
            "telephone_number": "281-446-8484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8450 Will Clayton Pkwy",
            "address_purpose": "LOCATION",
            "city": "Humble",
            "state": "TX",
            "postal_code": "773385830",
            "country_code": "US",
            "telephone_number": "713-206-0153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NAMELESS MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-05",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A",
        "authorized_official_last_name": "KOSHY",
        "authorized_official_first_name": "STEVLEY",
        "authorized_official_middle_name": "MATHEWS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "713-206-0153",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Friendswood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.