Active NPI
Mario Osvaldo Kapusta, M.D.
- Vascular Surgery Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- F0537
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060049733 | Other | TX | RAILROAD MEDICARE |
| 4076907 | Other | TX | AETNA |
| P082460J2 | Medicaid | TX | |
| 134953204 | Medicaid | TX | |
| 8M0430 | Other | TX | BLUE 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C42419 | CA | MD | Specialist |
| 11435 | OK | MD | Specialist |
| F0537 | TX | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Srinivas Rao MD PA | Vascular Surgery | Current | Accepting new patients |
| Mario O. Kapusta, M.D., P.a. | Specialist | Current | 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.
-
- Specialist
- Houston, TX
- NPI 1164607818
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.