Active NPI
Ashish Thekkekara Biju, DPM
- Podiatrist
- Longview, TX
National Provider Identifier
1518661289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 692308
- Practice address
- 3133 Good Shepherd Way
Longview, TX 75605-7921 - Phone
- (903) 323-6500
- Fax
- (903) 315-4699
- NPI assigned
- Mar 28, 2023
- Last updated
- Jun 22, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 692308 | TX | Primary |
Addresses
Primary practice location
3133 Good Shepherd Way
Longview, TX 75605-7921
Mailing address
3811 Jackson Shoals Dr
Lawrenceville, GA 30044-4065
Phone (678) 619-7860
Other practice location 1
2790 Godwin Blvd Ste 355
Suffolk, VA 23434-8173
Phone (757) 635-0784
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230821001742 | VA | Order and Referring Only - Podiatry | 3577925767 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782086400000",
"number": "1518661289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3811 JACKSON SHOALS DR",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300444065",
"telephone_number": "678-619-7860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3133 GOOD SHEPHERD WAY",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756057921",
"telephone_number": "903-323-6500",
"fax_number": "903-315-4699"
}
],
"practiceLocations": [
{
"address_1": "2790 Godwin Blvd Ste 355",
"address_purpose": "LOCATION",
"city": "Suffolk",
"state": "VA",
"postal_code": "234348173",
"country_code": "US",
"telephone_number": "757-635-0784",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BIJU",
"first_name": "ASHISH",
"middle_name": "THEKKEKARA",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-03-28",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "TX",
"license": "692308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longview, TX
- Beverly Advanced Practice Nursing, PLLC (The Beverly Clinic)
- Laney Beyer
- Beyond Speech Therapy PLLC
- BHH of Gregg County and Region, LLC (Bethany Home Health Services)
- Joseph F Bianca, MD
- Bilingual Counseling Services, PLLC
- Amy Katherine Billingslea, LAT
- Jennifer Billodeaux, M.P.T.
- Janna C Binford, LPC
- Troy Birmingham, HIS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.