Active NPI
Costus Medical Inc
- Family Medicine Physician
- Missouri City, TX
National Provider Identifier
1336906346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- COSTUS MEDICAL INC
- Practice address
- 2710 FM 1092 Rd Ste E
Missouri City, TX 77459-5641 - Phone
- (832) 645-4156
- Fax
- (832) 645-5146
- NPI assigned
- Mar 5, 2024
- Last updated
- Jun 3, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yemi Adesola
- Title
- Admin/Managing Member
- Phone
- (832) 645-4156
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Integrative Medicine Physician | 202D00000X | |||
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
2710 FM 1092 Rd Ste E
Missouri City, TX 77459-5641
Mailing address
2710 FM 1092 Rd Ste E
Missouri City, TX 77459-5641
Phone (832) 645-4156
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2317671 | Costus Medical Clinic | Certificate of waiver | Jan 28, 2027 |
National Provider Directory
National Provider DirectoryLocations
2710 FM 1092 Rd
Ste E
Missouri City, TX 77459
Phone (832) 650-0364
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Sugar Land, TX
- NPI 1730914953
-
- Family Nurse Practitioner
- Granbury, TX
- NPI 1952826232
-
- Family Nurse Practitioner
- Sugar Land, TX
- NPI 1609628759
-
- Family Nurse Practitioner
- Missouri City, TX
- NPI 1376101576
-
- Pharmacist
- Missouri City, TX
- NPI 1801583463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1748908800000",
"number": "1336906346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2710 FM 1092 RD STE E",
"city": "MISSOURI CITY",
"state": "TX",
"postal_code": "774595641",
"telephone_number": "832-645-4156",
"fax_number": "832-645-5146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2710 FM 1092 RD STE E",
"city": "MISSOURI CITY",
"state": "TX",
"postal_code": "774595641",
"telephone_number": "832-645-4156",
"fax_number": "832-645-5146"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COSTUS MEDICAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-05",
"last_updated": "2025-06-03",
"certification_date": "2025-06-03",
"status": "A",
"authorized_official_last_name": "ADESOLA",
"authorized_official_first_name": "YEMI",
"authorized_official_title_or_position": "ADMIN/MANAGING MEMBER",
"authorized_official_telephone_number": "832-645-4156"
},
"taxonomies": [
{
"code": "202D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Integrative Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Missouri City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.