Individual provider Active NPI

Subrata Ghosh, M.D.

  • Neurological Surgery Physician
  • Webster, TX
National Provider Identifier
1477554913
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
L4952 Issued in TX
Practice address
400 W Medical Center Blvd Ste 250
Webster, TX 77598
Phone
(713) 335-3600
Fax
(713) 335-3605
NPI assigned
Aug 9, 2005
Reactivated
Mar 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X L4952 TX Primary

Addresses

Primary practice location

400 W Medical Center Blvd Ste 250
Webster, TX 77598

Mailing address

400 W Medical Center Blvd Ste 250
Webster, TX 77598-4403
Phone (713) 335-3600

Other identifiers 1

IdentifierTypeStateIssuer
155025302MedicaidTX

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
I20041006000431 TX Practitioner - Neurosurgery 9436118569 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

400 W Medical Ctr Blvd
Suite 250
Webster, TX 77598-4403
Phone (713) 335-3600

Hospital & facility affiliations

  • HCA Houston Healthcare Clear Lake Hospital, Webster, TX, CCN 450617

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion51
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brain & Spine Clinic, PA CurrentSince Jul 26, 2004 Accepting new patients
Greater Houston Neuroscience Clinic, PLLC. Neurological Surgery Current Accepting new patients
Village Chiropractic and Wellness P.L.L.C. Past Accepting new patients

Locations

6624 Fannin St
Ste 1740
Houston, TX 77030
Phone (281) 313-0031

400 W Medical Center Blvd
Ste 250
Webster, TX 77598
Phone (713) 335-3600

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.

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1477554913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W MEDICAL CENTER BLVD STE 250",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984403",
            "telephone_number": "713-335-3600",
            "fax_number": "713-335-3605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W MEDICAL CENTER BLVD STE 250",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "77598",
            "telephone_number": "713-335-3600",
            "fax_number": "713-335-3605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHOSH",
        "first_name": "SUBRATA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "deactivation_date": "2006-03-22",
        "reactivation_date": "2006-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "L4952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155025302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

Verify at the official NPI Registry.