Organization Active NPI

Satya P. Kaushik,M.D.,P.a

  • Primary Care Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1508308768
Registry record updated Nov 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
G9608 Issued in TX
Legal business name
SATYA P. KAUSHIK,M.D.,P.A
Practice address
617 Travis Ave
Fort Worth, TX 76104-3153
Phone
(817) 335-3279
Fax
(817) 335-7763
NPI assigned
Nov 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2016

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

Authorized official

Name
Dr. Satya Prakash Kaushik, M.D.
Title
President
Phone
(817) 335-3279

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X G9608 TX Primary

Addresses

Primary practice location

617 Travis Ave
Fort Worth, TX 76104-3153

Mailing address

617 Travis Ave
Fort Worth, TX 76104-3153
Phone (817) 335-3279

Other identifiers 1

IdentifierTypeStateIssuer
127006801MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478217600000",
    "number": "1508308768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 TRAVIS AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043153",
            "telephone_number": "817-335-3279",
            "fax_number": "817-335-7763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 TRAVIS AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043153",
            "telephone_number": "817-335-3279",
            "fax_number": "817-335-7763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SATYA P. KAUSHIK,M.D.,P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-04",
        "last_updated": "2016-11-04",
        "status": "A",
        "authorized_official_last_name": "KAUSHIK",
        "authorized_official_first_name": "SATYA",
        "authorized_official_middle_name": "PRAKASH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-335-3279",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "G9608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127006801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.