Individual provider Active NPI

Vijay K Koka, MD

  • Nephrology Physician
  • Pasadena, TX
National Provider Identifier
1144423922
Registry record updated Mar 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
M0132 Issued in TX
Practice address
3333 Bayshore Blvd
Suite 270
Pasadena, TX 77504-1988
Phone
(713) 947-9509
Fax
(713) 947-6286
NPI assigned
Jun 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X M0132 TX Primary

Addresses

Primary practice location

3333 Bayshore Blvd
Suite 270
Pasadena, TX 77504-1988

Mailing address

8876 Gulf Freeway
Suite 215
Houston, TX 77017-6650
Phone (713) 947-1001

Other identifiers 2

IdentifierTypeStateIssuer
188711901MedicaidTX
188711902MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071102000288 TX Practitioner - NephrologyPractitioner - Internal Medicine 6204851587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renal Specialists of Houston, PAGroup PAC ID 5193613149, 24 clinicians

Practice addresses (Care Compare)

3333 Bayshore Blvd
Suite 270
Pasadena, TX 77504-1944
Phone (713) 947-9507

Hospital & facility affiliations

  • FMC Dialysis Services of Deer Park Dialysis facility, Deer Park, TX, CCN 452837
  • FMC Strawberry Park Dialysis facility, Pasadena, TX, CCN 742508
  • Bayshore Dialysis Center Dialysis facility, Pasadena, TX, CCN 452745
  • Fresenius Medical Care Baytown North Dialysis facility, Baytown, TX, CCN 672760
  • DaVita Pine Park Dialysis Dialysis facility, Pasadena, TX, CCN 672767
  • HCA Houston Healthcare Southeast Hospital, Pasadena, TX, CCN 450097
  • Houston Methodist Baytown Hospital Hospital, Baytown, TX, CCN 450424
  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • HCA Houston Healthcare Clear Lake Hospital, Webster, TX, CCN 450617
  • St Luke'S Patients Medical Center Hospital, Pasadena, TX, CCN 670031

Merit-based Incentive Payment System (MIPS)

Final score
92.57 of 100Reported as group
Quality
72.76
Promoting interoperability
97
Improvement activities
40
Cost
83.52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Renal Specialists of Houston, PA CurrentSince Jul 16, 2007 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients

Locations

2215 Rollingbrook Dr
Ste 140
Baytown, TX 77521
Phone (281) 428-2487

11665 Fuqua St
Ste C301
Houston, TX 77034
Phone (713) 947-1001

4407 Yoakum Blvd
Ste B
Houston, TX 77006
Phone (281) 528-8111

8876 Gulf Fwy
Ste 215
Houston, TX 77017
Phone (713) 947-1001

11914 Astoria Blvd
Ste 420
Houston, TX 77089
Phone (281) 484-9070

1213 Hermann Dr
Ste 540
Houston, TX 77004
Phone (713) 258-7474

18648 McKay Dr
Ste 130
Humble, TX 77338
Phone (832) 381-2441

21927 Clay Rd
Ste 100
Katy, TX 77449
Phone (346) 447-2500

3333 Bayshore Blvd
Ste 270
Pasadena, TX 77504
Phone (713) 947-9507

2743 Smith Ranch Rd
Ste 803
Pearland, TX 77584
Phone (713) 944-4660

1111 Highway 6
Ste 174
Sugar Land, TX 77478
Phone (281) 491-6329

9449 Grogans Mill Rd
The Woodlands, TX 77380
Phone (281) 363-1262

100 E Nasa Pkwy
Ste 35
Webster, TX 77598
Phone (281) 332-2059

Interoperability endpoints

  • Direct secure messaging: vijay.koka.1@19285.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/19285/brand/4/csg/1/fhir/r4

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.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332460800000",
    "number": "1144423922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8876 GULF FREEWAY",
            "address_2": "SUITE 215",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770176650",
            "telephone_number": "713-947-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 BAYSHORE BLVD",
            "address_2": "SUITE 270",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775041988",
            "telephone_number": "713-947-9509",
            "fax_number": "713-947-6286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOKA",
        "first_name": "VIJAY",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-07",
        "last_updated": "2012-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "M0132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188711901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188711902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

Verify at the official NPI Registry.