Individual provider Active NPI

Yury J Nosaville, M.D.

  • Obstetrics Physician
  • Houston, TX
National Provider Identifier
1376566331
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
F8260 Issued in TX
Practice address
8200 Wednesbury LN
Suite 230
Houston, TX 77074-2925
Phone
(713) 981-1972
Fax
(281) 313-3341
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X F8260 TX Primary

Addresses

Primary practice location

8200 Wednesbury LN
Suite 230
Houston, TX 77074-2925

Mailing address

605 S Conroe Medical Dr
Conroe, TX 77304-4722
Phone (936) 539-4004

Other practice location 1

605 S Conroe Medical Dr
Conroe, TX 77304-4722
Phone (936) 539-4004

Other identifiers 1

IdentifierTypeStateIssuer
134180206MedicaidTX

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
I20090910000325 TX Practitioner - Obstetrics/Gynecology 5193804524 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lone Star Community Health Center, Inc. CurrentSince Sep 5, 2025 Accepting new patients
Lone Star Community Health Center, Inc. CurrentSince Sep 5, 2025 Accepting new patients
Chca Conroe LP Past Accepting new patients

Locations

605 S Conroe Medical Dr
Conroe, TX 77304

440 Rayford Rd
Ste 150
Spring, TX 77386

Interoperability endpoints

  • Direct secure messaging: yury.nosaville.1@31617.direct.athenahealth.com

Organizations & group practices 3

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1376566331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 S CONROE MEDICAL DR",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773044722",
            "telephone_number": "936-539-4004",
            "fax_number": "936-539-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 WEDNESBURY LN",
            "address_2": "SUITE 230",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770742925",
            "telephone_number": "713-981-1972",
            "fax_number": "281-313-3341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "605 S Conroe Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773044722",
            "country_code": "US",
            "telephone_number": "936-539-4004",
            "fax_number": "936-539-3635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOSAVILLE",
        "first_name": "YURY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "TX",
            "license": "F8260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134180206",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.