Active NPI
John Cherian Koshy, M.D.
- Surgery of the Hand (Plastic Surgery) Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery of the Hand (Plastic Surgery) Physician
- License
- R1399
- Practice address
- 6701 Fannin St
Cc610.00
Houston, TX 77030-2608 - Phone
- (832) 822-3140
- NPI assigned
- Feb 6, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | R1399 | TX | |
| Surgery of the Hand (Plastic Surgery) Physician | 2082S0105X | R1399 | TX | Primary |
Addresses
Primary practice location
6701 Fannin St
Cc610.00
Houston, TX 77030-2608
Mailing address
11511 Shadow Creek Pkwy
Pearland, TX 77584-7298
Phone (713) 442-4997
Other practice location 1
2727 W Holcombe Blvd
Houston, TX 77025-1669
Phone (713) 442-0000
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1399 | TX | MD | Surgery of the Hand (Plastic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kelsey-Seybold Medical Group, PLLC | Current | Accepting new patients | |
| Texas Children'S Physician Group | Current | Accepting new patients |
Locations
6701 Fannin St
#61000
Houston, TX 77030
Phone (832) 822-3140
6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764
2727 W Holcombe Blvd
Houston, TX 77025
Phone (713) 790-9412
201 Enterprise Ave
Ste 900
League City, TX 77573
Phone (713) 442-2826
7010 Highway 6
Missouri City, TX 77459
Phone (713) 442-4200
11511 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 442-4997
2515 Business Center Dr
Pearland, TX 77584
Phone (713) 442-7200
Interoperability endpoints
- jkoshy37148@prddirect.texaschildrens.org
- jkoshy41799@direct.kelsey-seybold.com
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.
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- NPI 1861675506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638230400000",
"number": "1124390190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11511 SHADOW CREEK PKWY",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775847298",
"telephone_number": "713-442-4997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6701 FANNIN ST",
"address_2": "CC610.00",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302608",
"telephone_number": "832-822-3140"
}
],
"practiceLocations": [
{
"address_1": "2727 W Holcombe Blvd",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770251669",
"country_code": "US",
"telephone_number": "713-442-0000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOSHY",
"first_name": "JOHN",
"middle_name": "CHERIAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-06",
"last_updated": "2021-11-30",
"certification_date": "2021-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "TX",
"license": "R1399",
"primary": false
},
{
"code": "2082S0105X",
"taxonomy_group": "",
"desc": "Plastic Surgery, Surgery of the Hand",
"state": "TX",
"license": "R1399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.