Individual provider Active NPI

Robert W Koshman, MD

  • Specialist
  • Houston, TX
National Provider Identifier
1518986918
Registry record updated Apr 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G1693 Issued in TX
Practice address
915 Gessner Rd
Suite 560
Houston, TX 77024-2572
Phone
(713) 932-6565
Fax
(713) 932-6507
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G1693 TX Primary

Addresses

Primary practice location

915 Gessner Rd
Suite 560
Houston, TX 77024-2572

Mailing address

819 W Forest Dr
Suite 560
Houston, TX 77079-3331
Phone (713) 819-2292

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
I20160422000126 TX Order and Referring Only - Orthopedic SurgeryPractitioner - Orthopedic Surgery 0345274999

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459468800000",
    "number": "1518986918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 W FOREST DR",
            "address_2": "SUITE 560",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770793331",
            "telephone_number": "713-819-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 GESSNER RD",
            "address_2": "SUITE 560",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242572",
            "telephone_number": "713-932-6565",
            "fax_number": "713-932-6507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSHMAN",
        "first_name": "ROBERT",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2016-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "G1693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.