Marvin S Kogutt, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

D4185 Issued in TX

Practice address

314 Grand View Ter
Houston, TX 77007-8346

Phone

(713) 426-4375

NPI assigned

Oct 27, 2005

Last updated

Feb 16, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455580800000",
    "number": "1538159868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 GRAND VIEW TER",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770078346",
            "telephone_number": "713-426-4375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 GRAND VIEW TER",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770078346",
            "telephone_number": "713-426-4375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOGUTT",
        "first_name": "MARVIN",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2016-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "D4185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042389903",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042389901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lyndsay Olim Koestler, LPC-ASSOCIATE
• Erin Koetter, OD
• Jenny Koetting, RD
• Jennifer Sarah Kogan
• Margarita Kogan
• Andrea Koh, DPT
• Chester Jungdon Koh, MD
• Christina Koh
• Deborah Koh, MD
• Ezra Yujin Koh, MD

• Diagnostic Radiology Physician in Houston, TX
• Providers in Houston, TX by specialty
• Diagnostic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; 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.

Verify at the official NPI Registry.