Individual provider Active NPI

Nisha Muchal Kuriakose, CRNA

  • Certified Registered Nurse Anesthetist
  • Houston, TX
National Provider Identifier
1396259263
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP138520 Issued in TX
Practice address
1500 Citywest Blvd Ste 300
Houston, TX 77042
Phone
(972) 233-1999
NPI assigned
Nov 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN587182 PA
Certified Registered Nurse Anesthetist 367500000X AP138520 TX Primary

Addresses

Primary practice location

1500 Citywest Blvd Ste 300
Houston, TX 77042

Mailing address

PO Box 840853
Dallas, TX 75284-0853
Phone (972) 233-1999

Other practice location 1

1635 North Loop West
Houston, TX 77008-1593
Phone (713) 400-2990

Other practice location 2

1635 North Loop West
Houston, TX 77008-1593
Phone (713) 400-2990

Other identifiers 1

IdentifierTypeStateIssuer
392230401MedicaidTX

Other names 1

  • Nisha Jacob Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171228002227 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7416215124 Reassigns benefits to 1 organization
I20181210000924 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 7416215124 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergenchealth PLLCGroup PAC ID 1355606641, 1,037 clinicians

Practice addresses (Care Compare)

3080 College St
Beaumont, TX 77701-4606
Phone (409) 212-5002

Hospital & facility affiliations

  • Christus Southeast Texas- St Elizabeth Hospital, Beaumont, TX, CCN 450034

Merit-based Incentive Payment System (MIPS)

Final score
88.94 of 100Reported as group
Quality
91.31
Improvement activities
40
Cost
79.05

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
U. S. Anesthesia Partners of Texas, P.a., Nurse Anesthetist, Certified Registered CurrentSince Oct 13, 2018 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2021 Accepting new patients
Northstar Anesthesia of Pennsylvania, LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 7, 2017 Accepting new patients
Epix Medical Services of Houston PLLC Nurse Anesthetist, Certified Registered CurrentSince Nov 10, 2020 Accepting new patients
Bahec LLC CurrentSince Sep 22, 2020 Accepting new patients
U S Anesthesia Partners of Texas, PA Nurse Anesthetist, Certified Registered CurrentSince Oct 13, 2018 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 22, 2020 Accepting new patients
Texans Anesthesia Associates PLLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2018 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 22, 2020 Accepting new patients

Locations

1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000

950 N 14th St
Ste 100
Beaumont, TX 77702
Phone (409) 833-5555

3080 College St
#T
Beaumont, TX 77701
Phone (409) 212-5002

3080 College St
Beaumont, TX 77701
Phone (409) 212-5000

1001 Surrey Ln
Flower Mound, TX 75022
Phone (817) 337-3671

1635 North Loop W
Houston, TX 77008
Phone (713) 867-2066

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

1500 Citywest Blvd
Ste 300
Houston, TX 77042
Phone (713) 458-4185

18220 Tomball Pkwy
Ste 330
Houston, TX 77070
Phone (281) 477-6192

9525 Katy Fwy
Ste 206
Houston, TX 77024
Phone (713) 400-2900

6620 Main St
Ste 1500
Houston, TX 77030
Phone (713) 520-8432

1631 North Loop W
Ste 300
Houston, TX 77008
Phone (713) 343-1080

180 Bear Creek Pkwy
Keller, TX 76248
Phone (817) 337-3671

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

2704 N Galloway Ave
Ste 102
Mesquite, TX 75150
Phone (972) 961-7171

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

15300 Southwest Fwy
Ste 100
Sugar Land, TX 77478
Phone (281) 274-6670

1015 W Medical Center Blvd
Ste 1500
Webster, TX 77598
Phone (281) 557-3223

1015 W Medical Center Blvd
Ste 1200
Webster, TX 77598
Phone (281) 554-3494

Organizations & group practices 10

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.

Hospital & facility affiliations 1

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": "1511913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1396259263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840853",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840853",
            "telephone_number": "972-233-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 CITYWEST BLVD STE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77042",
            "telephone_number": "972-233-1999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1635 North Loop West",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770081593",
            "country_code": "US",
            "telephone_number": "713-400-2990",
            "fax_number": "713-400-2993",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1635 North Loop West",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770081593",
            "country_code": "US",
            "telephone_number": "713-400-2990",
            "fax_number": "713-400-2993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KURIAKOSE",
        "first_name": "NISHA",
        "middle_name": "MUCHAL",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-29",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN587182",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP138520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "392230401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NISHA",
            "last_name": "JACOB",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; 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.

Verify at the official NPI Registry.