Salim Koshi Cheriyan, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

S6374 Issued in TX

Practice address

17350 St Lukes Way Ste 200
The Woodlands, TX 77384-4103

Phone

(936) 266-2668

NPI assigned

Apr 25, 2012

Last updated

Sep 19, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Urology

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Baylor St. Luke's Medical GroupGroup PAC ID 9133213192, 172 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Luke's the Woodlands Hospital Hospital, The Woodlands, TX, CCN 450862
• CHI St Lukes Lakeside Hospital Hospital, The Woodlands, TX, CCN 670059
• Baylor St Lukes Medical Center Hospital, Houston, TX, CCN 450193
• St Luke's Hospital at the Vintage Hospital, Houston, TX, CCN 670075
• CHI St Lukes Health Memorial Livingston Hospital, Livingston, TX, CCN 450395

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JIHBCA
• Direct secure messaging: scheriyan231192@direct.stlukeshealth.org

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.

• Baylor St. Luke's Medical Group

  • Internal Medicine Physician
  • The Woodlands, TX
  • NPI 1740485879
  Medicare reassignment Care Compare group NPD

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

• CHI St. Luke's Health Baylor College of Medicine Medical Center

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1184622847
  Care Compare affiliation
• Memorial Hospital of Polk County

  dba CHI St. Luke's Heath Memorial Livingston

  • Rural Acute Care Hospital
  • Livingston, TX
  • NPI 1689650616
  Care Compare affiliation
• St Luke's Lakeside Hospital, LLC

  dba St Luke's Lakeside Hospital

  • Special Hospital
  • The Woodlands, TX
  • NPI 1184868879
  Care Compare affiliation
• St. Luke's Community Health Services

  dba St. Luke's The Woodlands Hospital

  • General Acute Care Hospital
  • The Woodlands, TX
  • NPI 1942208616
  Care Compare affiliation
• St. Lukes Hospital at the Vintage

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1710314141
  Care Compare affiliation

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1265790554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17350 ST LUKES WAY STE 200",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773844103",
            "telephone_number": "936-266-2668",
            "fax_number": "936-266-8667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17350 ST LUKES WAY STE 200",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773844103",
            "telephone_number": "936-266-2668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 W Frank Ave Ste 303",
            "address_purpose": "LOCATION",
            "city": "Lufkin",
            "state": "TX",
            "postal_code": "759043330",
            "country_code": "US",
            "telephone_number": "936-632-0074",
            "fax_number": "936-632-0081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHERIYAN",
        "first_name": "SALIM",
        "middle_name": "KOSHI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-25",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "S6374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kanishka V Chelikani
• Timothy Joseph Chen, D.O.
• Xiaolei Chen, M.D.
• Yuyan Chen
• Denise Lynn Cheplick, M.A., CCC-SLP
• CHI Hiong U Go MD PA
• Childers Counseling, PLLC
• Kateesa Childs
• Brian T Chimenti, M.D.
• Paul Carl Chin, MD, PHD

• Urology Physician in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Urology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.