Individual provider Active NPI

Murali M Kosuri, MD

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1174558068
Registry record updated Aug 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F3524 Issued in TX
Practice address
9105 N Wayside Dr
Houston, TX 77028-1030
Phone
(713) 633-2020
Fax
(713) 636-7193
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F3524 TX Primary

Addresses

Primary practice location

9105 N Wayside Dr
Houston, TX 77028-1030

Mailing address

PO Box 301173
Dallas, TX 75303-1173
Phone (713) 500-3500

Other identifiers 2

IdentifierTypeStateIssuer
136437411MedicaidTX
8P2794OtherTXBCBS

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
I20041020001232 TX Practitioner - Family Practice 9436110798 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians Family Medicine CurrentSince Oct 18, 2004 Accepting new patients
Ut Physicians CurrentSince Oct 18, 2004 Accepting new patients

Locations

5656 Kelley St
Houston, TX 77026
Phone (713) 566-5000

9105 N Wayside Dr
Houston, TX 77028
Phone (713) 633-2020

1200 Binz St
Ste 175
Houston, TX 77004
Phone (713) 520-6016

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470614400000",
    "number": "1174558068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 301173",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753031173",
            "telephone_number": "713-500-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9105 N WAYSIDE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770281030",
            "telephone_number": "713-633-2020",
            "fax_number": "713-636-7193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSURI",
        "first_name": "MURALI",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2016-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F3524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136437411",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8P2794",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.