NPIMap

Individual provider Active NPI

Amelia Gosuico, M.D.

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1558340158
Registry record updated Apr 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
F8746 Issued in TX
Practice address
14922 Kimberley LN
Houston, TX 77079-4504
Phone
(832) 876-3580
NPI assigned
Jan 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X F8746 TX
Internal Medicine Physician 207R00000X F8746 TX Primary

Addresses

Primary practice location

14922 Kimberley LN
Houston, TX 77079-4504

Mailing address

PO Box 79314
Houston, TX 77279-9314
Phone (832) 876-3580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
F8746TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Medical Associates, Inc. Emergency Medicine CurrentSince Jul 12, 2010 Accepting new patients
Smithville Hospital Authority Past Accepting new patients
Glen Rose Medical Foundation Inc. Emergency Medicine Past Accepting new patients
Memorial Hospital of Polk County PastSince Jan 1, 2002 Accepting new patients
Gonzales Healthcare Systems Past Accepting new patients
Bellville Medical Center PastSince Aug 6, 2019 Accepting new patients
Bellville Hospital District Emergency Medicine Past Accepting new patients
Twin Fountains Urgent Care Center Internal Medicine Past Accepting new patients
Glen Rose Medical Foundation Emergency Medicine Past Accepting new patients
Ascension Seton Past Accepting new patients

Locations

101 Avenue J
Anson, TX 79501
Phone (325) 823-3231

1711 W Wheeler Ave
Aransas Pass, TX 78336
Phone (361) 758-0505

1416 George Dieter Dr
El Paso, TX 79936
Phone (877) 822-6281

110 Memorial Hospital Dr
Huntsville, TX 77340
Phone (936) 291-4276

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303344000000",
    "number": "1558340158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 79314",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772799314",
            "telephone_number": "832-876-3580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14922 KIMBERLEY LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770794504",
            "telephone_number": "832-876-3580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSUICO",
        "first_name": "AMELIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-11",
        "last_updated": "2011-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "F8746",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "F8746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.