Individual provider Active NPI

Laxmi Deepika Koya, M.D.,

  • Gastroenterology Physician
  • Lewisville, TX
National Provider Identifier
1205883832
Registry record updated Dec 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
P0746 Issued in TX
Practice address
118 Lynn Ave Ste 500
Lewisville, TX 75057-3705
Phone
(214) 888-0670
Fax
(469) 299-9080
NPI assigned
May 28, 2006
Last updated
Dec 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME105793 FL
Internal Medicine Physician 207R00000X P0746 TX
Gastroenterology Physician 207RG0100X ME105793 FL
Gastroenterology Physician 207RG0100X P0746 TX Primary

Addresses

Primary practice location

118 Lynn Ave Ste 500
Lewisville, TX 75057-3705

Mailing address

3311 Yucca Dr
Flower Mound, TX 75028-2743
Phone (214) 888-0670

Other identifiers 1

IdentifierTypeStateIssuer
225704MedicaidSC

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
I20120703000333 TX Practitioner - GastroenterologyPractitioner - Internal Medicine 7618927948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

118 Lynn Ave
Suite 500
Lewisville, TX 75057-3705
Phone (214) 888-0670

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.37 of 100Reported as individual
Quality
99
Improvement activities
40
Cost
72.55

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy123
Upper gastrointestinal (GI) endoscopy for acid reflux129

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P0746TXMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Laxmideepika Koya, M.D.,P.a Internal Medicine CurrentSince Jul 18, 2016 Accepting new patients
Gi Associates of Lewisville, PLLC Gastroenterology Past Accepting new patients

Locations

118 Lynn Ave
Ste 500
Lewisville, TX 75057
Phone (214) 888-0670

500 N Valley Pkwy
Ofc
Lewisville, TX 75067
Phone (469) 312-8996

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGEGAD/Endpoint/BGEGAD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607817600000",
    "number": "1205883832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 YUCCA DR",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282743",
            "telephone_number": "214-888-0670",
            "fax_number": "469-299-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 LYNN AVE STE 500",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573705",
            "telephone_number": "214-888-0670",
            "fax_number": "469-299-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOYA",
        "first_name": "LAXMI DEEPIKA",
        "credential": "M.D.,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-28",
        "last_updated": "2020-12-13",
        "certification_date": "2020-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME105793",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P0746",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME105793",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "P0746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "225704",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

Verify at the official NPI Registry.