Individual provider Active NPI

Raji Anup, NP

  • Family Nurse Practitioner
  • Lewisville, TX
National Provider Identifier
1083905616
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP120151 Issued in TX
Practice address
860 Hebron Pkwy Ste 1202
Lewisville, TX 75057-5146
Phone
(214) 488-0071
Fax
(949) 225-1102
NPI assigned
Apr 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP120151 TX Primary

Addresses

Primary practice location

860 Hebron Pkwy Ste 1202
Lewisville, TX 75057-5146

Mailing address

860 Hebron Pkwy Ste 1202
Lewisville, TX 75057-5146
Phone (142) 488-0071

Other names 1

  • Raji K Koshy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111129000044 TX Practitioner - Nurse Practitioner 0042484255 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

860 Hebron Pkwy
Lewisville, TX 75057-5151
Phone (214) 488-0071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Questcare Hospitalists PLLC CurrentSince Feb 1, 2015 Accepting new patients
Kidz & Family Medicine Inc. Family CurrentSince May 1, 2022 Accepting new patients

Locations

1950 Record Crossing Rd
Dallas, TX 75235
Phone (214) 638-1500

860 Hebron Pkwy
Ste 1202
Lewisville, TX 75057
Phone (214) 488-0071

860 Hebron Pkwy
Lewisville, TX 75057
Phone (214) 488-0071

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1304121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1083905616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 HEBRON PKWY STE 1202",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750575146",
            "telephone_number": "142-488-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 HEBRON PKWY STE 1202",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750575146",
            "telephone_number": "214-488-0071",
            "fax_number": "949-225-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANUP",
        "first_name": "RAJI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-30",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP120151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAJI",
            "last_name": "KOSHY",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lewisville, TX

Sources for this page

Verify at the official NPI Registry.