Active NPI
Lisa Chacko Ghosh, MD
- Family Medicine Physician
- Houston, TX
National Provider Identifier
1578511150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- L7618
- Practice address
- 4755 Aldine Mail Route
Houston, TX 77039-5934 - Phone
- (281) 985-7676
- NPI assigned
- May 5, 2006
- Last updated
- Feb 25, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | L7618 | TX | Primary |
Addresses
Primary practice location
4755 Aldine Mail Route
Houston, TX 77039-5934
Mailing address
4755 Aldine Mail Route
Houston, TX 77039-5934
Phone (281) 985-7676
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8W2029 | Other | BCBS |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Physicians | Family Medicine | Current | Accepting new patients |
| Ut Physicians | Current | Accepting new patients |
Locations
4755 Aldine Mail Rte
Houston, TX 77039
Phone (281) 985-7600
5656 Kelley St
Houston, TX 77026
Phone (713) 566-5000
6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203897600000",
"number": "1578511150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4755 ALDINE MAIL ROUTE",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770395934",
"telephone_number": "281-985-7676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4755 ALDINE MAIL ROUTE",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770395934",
"telephone_number": "281-985-7676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHOSH",
"first_name": "LISA",
"middle_name": "CHACKO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-05",
"last_updated": "2008-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "L7618",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8W2029",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.