Individual provider Active NPI

Mario Osvaldo Kapusta, M.D.

  • Vascular Surgery Physician
  • Houston, TX
National Provider Identifier
1437268943
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
F0537 Issued in TX
Practice address
5585 Weslayan St
Houston, TX 77005-1941
Phone
(713) 349-8346
Fax
(713) 218-8346
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 11435 OK
Specialist 174400000X F0537 TX
Specialist 174400000X C42419 CA
Vascular Surgery Physician 2086S0129X F0537 TX Primary

Addresses

Primary practice location

5585 Weslayan St
Houston, TX 77005-1941

Mailing address

PO Box 6730
Houston, TX 77265-6730
Phone (713) 349-8346

Other practice location 1

605 Medical Ct Ste 101
Brenham, TX 77833-5406
Phone (281) 888-1464

Other practice location 2

11221 Katy Fwy Ste 115
Houston, TX 77079-2105
Phone (281) 888-1464

Other identifiers 5

IdentifierTypeStateIssuer
060049733OtherTXRAILROAD MEDICARE
4076907OtherTXAETNA
P082460J2MedicaidTX
134953204MedicaidTX
8M0430OtherTXBLUE CROSS BLUE SHEILD

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
I20040615000614 TX Practitioner - Vascular SurgeryPractitioner - General SurgeryPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 9133103492 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C42419CAMDSpecialist
11435OKMDSpecialist
F0537TXMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Srinivas Rao MD PA Vascular Surgery CurrentSince Nov 1, 2021 Accepting new patients
Mario O. Kapusta, M.D., P.a. Specialist CurrentSince Jul 27, 2010 Accepting new patients

Locations

3820 Northdale Blvd
Ste 201
Tampa, FL 33624

635 Medical Pkwy
Brenham, TX 77833
Phone (979) 830-1444

605 Medical Ct
Ste 101
Brenham, TX 77833
Phone (979) 774-1377

6410 Fannin St
#907
Houston, TX 77030
Phone (713) 797-0794

5585 Weslayan St
Houston, TX 77005
Phone (713) 240-4913

11221 Katy Fwy
Ste 115
Houston, TX 77079
Phone (281) 888-1464

3333 Bayshore Blvd
Ste 260
Pasadena, TX 77504

1920 Country Place Pkwy
Ste 110
Pearland, TX 77584
Phone (281) 991-8346

9303 Pinecroft Dr
Ste 350
The Woodlands, TX 77380
Phone (281) 292-0121

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1437268943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6730",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772656730",
            "telephone_number": "713-349-8346",
            "fax_number": "713-218-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5585 WESLAYAN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770051941",
            "telephone_number": "713-349-8346",
            "fax_number": "713-218-8346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "605 Medical Ct Ste 101",
            "address_purpose": "LOCATION",
            "city": "Brenham",
            "state": "TX",
            "postal_code": "778335406",
            "country_code": "US",
            "telephone_number": "281-888-1464",
            "fax_number": "713-640-5938",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11221 Katy Fwy Ste 115",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770792105",
            "country_code": "US",
            "telephone_number": "281-888-1464",
            "fax_number": "713-640-5938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAPUSTA",
        "first_name": "MARIO",
        "middle_name": "OSVALDO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OK",
            "license": "11435",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "F0537",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "C42419",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "F0537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060049733",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4076907",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P082460J2",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134953204",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "8M0430",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.