Individual provider Active NPI

Stevley Koshy

  • Emergency Medicine Physician
  • Porter, TX
National Provider Identifier
1659758993
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
U3566 Issued in TX
Practice address
24770 Stowbridge Dr Apt 6201
Porter, TX 77365-7584
Phone
(713) 206-0153
NPI assigned
May 6, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X U3566 TX Primary

Addresses

Primary practice location

24770 Stowbridge Dr Apt 6201
Porter, TX 77365-7584

Mailing address

24770 Stowbridge Dr Apt 6201
Porter, TX 77365-7584
Phone (713) 206-0153

Other identifiers 2

IdentifierTypeStateIssuer
05945726MedicaidNY
103780033MedicaidPA

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
I20230622003569 TX Practitioner - Emergency Medicine 8224467642 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1774 Lake Crest LN
Friendswood, TX 77546-5784
Phone (201) 575-2328

Hospital & facility affiliations

  • Interim Healthcare Home health agency, Pearland, TX, CCN 747159
  • HCA Houston Healthcare Clear Lake Hospital, Webster, TX, CCN 450617
  • Liberty Dayton Regional Medical Center Hospital, Liberty, TX, CCN 451375
  • The Heights on Valley Ranch Nursing home, Porter, TX, CCN 676476
  • The Suites Pasadena Nursing home, Pasadena, TX, CCN 676332
  • The Heights of League City Nursing home, League City, TX, CCN 676153
  • Friendship Haven Healthcare and Rehabilitation Cen Nursing home, Friendswood, TX, CCN 675744
  • Oakmont Healthcare and Rehabilitation of Humble Nursing home, Humble, TX, CCN 455725

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U3566TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Em Alliance Texas, PLLC Emergency Medicine CurrentSince Dec 8, 2024 Accepting new patients
Liberty County Hospital District No 1 CurrentSince Nov 1, 2025 Accepting new patients
Nameless Medicine PLLC CurrentSince Jul 3, 2024 Accepting new patients
Arnot Medical Services PLLC Emergency Medicine CurrentSince Nov 29, 2020 Accepting new patients
Liberty County Hospital District No 1 CurrentSince Nov 1, 2025 Accepting new patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Liberty County Hospital District No 1 CurrentSince Nov 1, 2025 Accepting new patients
Singleton Associates PA Past Accepting new patients
Nes Medical Services of New York PC Emergency Medicine PastSince May 22, 2022 Accepting new patients
Dewitt Medical District Past Accepting new patients

Locations

7571 State Route 54
Bath, NY 14810
Phone (607) 776-8500

571 Saint Josephs Blvd
Fl 2
Elmira, NY 14901
Phone (607) 271-2050

600 Roe Ave
Ste 1F
Elmira, NY 14905
Phone (607) 795-8161

600 Roe Ave
Elmira, NY 14905
Phone (607) 733-3639

555 Saint Josephs Blvd
Elmira, NY 14901
Phone (607) 733-6541

1501 S Coulter St
Amarillo, TX 79106
Phone (800) 354-1150

4207 W Amarillo Blvd
Amarillo, TX 79106
Phone (806) 351-7850

4121 S Georgia St
Amarillo, TX 79110
Phone (561) 203-0611

8960 Hillside Rd
Amarillo, TX 79119
Phone (806) 351-6987

1103 E Houston St
Cleveland, TX 77327
Phone (281) 593-8350

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

1313 Hermann Dr
Houston, TX 77004
Phone (713) 527-5000

6191 E Sam Houston Pkwy N
#B
Houston, TX 77049
Phone (713) 295-5300

22999 Highway 59 N
Kingwood, TX 77339
Phone (281) 348-3322

1353 N Travis St
Liberty, TX 77575
Phone (936) 336-7316

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

500 W Medical Center Blvd
Webster, TX 77598
Phone (713) 447-4650

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBAFDD/Endpoint/BBAFDD

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1659758993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24770 STOWBRIDGE DR APT 6201",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773657584",
            "telephone_number": "713-206-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24770 STOWBRIDGE DR APT 6201",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773657584",
            "telephone_number": "713-206-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSHY",
        "first_name": "STEVLEY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-06",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "U3566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05945726",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103780033",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Porter, TX

Sources for this page

Verify at the official NPI Registry.