Individual provider Active NPI

Deepak Kotecha, OD

  • Optometrist
  • Missouri City, TX
National Provider Identifier
1447465299
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4108TG Issued in TX
Practice address
6026 Highway 6
Missouri City, TX 77459-4163
Phone
(281) 499-2600
Fax
(281) 499-6556
NPI assigned
May 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4108TG TX Primary

Addresses

Primary practice location

6026 Highway 6
Missouri City, TX 77459-4163

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140213001264 TX Practitioner - Optometry 6103055215 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Med Southwest PLLCGroup PAC ID 4082952874, 234 clinicians

Practice addresses (Care Compare)

6127 FM 1960 Rd W
Houston, TX 77069-4106
Phone (281) 469-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4108TXMDChiropractor
4108TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Med Southwest, PLLC Optometrist CurrentSince Mar 1, 2021 Accepting new patients
Med Southwest, PLLC Optometrist Current Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Mar 1, 2021 Accepting new patients
Silver Spring Optometry, LLC Optometrist Past Accepting new patients
Med Southwest, PLLC Optometrist Past Accepting new patients

Locations

6725 Delaware St
Beaumont, TX 77706
Phone (409) 832-9151

1635A S Voss Rd
Houston, TX 77057
Phone (713) 954-2020

1616 Clear Lake City Blvd
Ste 103
Houston, TX 77062
Phone (281) 286-4343

6127 FM 1960 Rd W
Houston, TX 77069
Phone (281) 469-2020

11159 Westheimer Rd
Houston, TX 77042
Phone (713) 978-7504

1051 Halsey St
Ste A
Houston, TX 77015
Phone (269) 808-7552

1534 W Grand Pkwy S
Katy, TX 77494
Phone (281) 693-3937

6026 Highway 6
Ste D
Missouri City, TX 77459

6026 Highway 6
Missouri City, TX 77459
Phone (281) 499-2600

6603 FM 2920 Rd
Spring, TX 77379
Phone (281) 370-4444

2703 Richmond Rd
Texarkana, TX 75503
Phone (903) 838-0783

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 5

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": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1447465299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6026 HIGHWAY 6",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594163",
            "telephone_number": "281-499-2600",
            "fax_number": "281-499-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTECHA",
        "first_name": "DEEPAK",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4108TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

Verify at the official NPI Registry.