Individual provider Active NPI

Nitish Kosaraju, M.D.

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1184815383
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
N5162 Issued in TX
Practice address
4545 Post Oak Place Dr
Suite 130
Houston, TX 77027-3164
Phone
(713) 960-8008
Fax
(713) 960-0965
NPI assigned
Aug 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X N5162 TX Primary

Addresses

Primary practice location

4545 Post Oak Place Dr
Suite 130
Houston, TX 77027-3164

Mailing address

500 Kirts Blvd Ste 100
Troy, MI 48084-4135
Phone (248) 434-6169

Other practice location 1

8588 Katy Fwy Ste 226A
Houston, TX 77024-1881
Phone (713) 532-6884

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA, WI, FL, VA, PA6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20100804000653 TX Practitioner - Internal Medicine 7012063886 Reassigns benefits to 3 organizations
I20230906003518 WA Practitioner - Internal Medicine 7012063886
I20240109002458 WI Practitioner - Internal Medicine 7012063886 Reassigns benefits to 1 organization
I20240308003429 FL Practitioner - Internal Medicine 7012063886 Reassigns benefits to 1 organization
I20240313002621 VA Practitioner - Internal Medicine 7012063886
I20241231001115 PA Practitioner - Internal Medicine 7012063886 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N5162TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iah of Florida, LLC CurrentSince Jan 29, 2024 Accepting new patients
Iah of Wisconsin, PLLC CurrentSince Nov 27, 2023 Accepting new patients
Vpa of Texas PLLC CurrentSince May 1, 2022 Accepting new patients
Lonestar Hospital Medicine Associates, PA Internal Medicine CurrentSince Jun 1, 2016 Accepting new patients
Vpa of Texas PLLC Internal Medicine Current Accepting new patients
Iah of Texas, PLLC CurrentSince Jul 22, 2022 Accepting new patients
Vpa of Texas PLLC CurrentSince May 1, 2022 Accepting new patients

Locations

2600 Lake Lucien Dr
Ste 112
Maitland, FL 32751
Phone (321) 207-9029

500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000

8588 Katy Fwy
Ste 226A
Houston, TX 77024
Phone (713) 532-6884

4545 Post Oak Place Dr
Ste 130
Houston, TX 77027
Phone 7139608008107

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

6800 Preston Rd
Plano, TX 75024
Phone (214) 473-3634

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

424 Tarpey Rd
#C
Texas City, TX 77591
Phone (409) 938-8431

13555 Bishops Ct
Ste 315
Brookfield, WI 53005
Phone (414) 255-0300

Organizations & group practices 8

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": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1184815383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 KIRTS BLVD STE 100",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844135",
            "telephone_number": "248-434-6169",
            "fax_number": "855-618-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 POST OAK PLACE DR",
            "address_2": "SUITE 130",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770273164",
            "telephone_number": "713-960-8008",
            "fax_number": "713-960-0965"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8588 Katy Fwy Ste 226A",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770241881",
            "country_code": "US",
            "telephone_number": "713-532-6884",
            "fax_number": "713-532-5756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOSARAJU",
        "first_name": "NITISH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-05",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N5162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.