Active NPI
Stevley Koshy
- Emergency Medicine Physician
- Porter, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- U3566
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05945726 | Medicaid | NY | |
| 103780033 | Medicaid | PA |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- HCA Houston Healthcare Clear Lake
- Liberty Dayton Regional Medical Center
- The Heights on Valley Ranch
- The Suites Pasadena
- The Heights of League City
- Friendship Haven Healthcare and Rehabilitation Cen
- Oakmont Healthcare and Rehabilitation of Humble
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 14 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| U3566 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Em Alliance Texas, PLLC | Emergency Medicine | Current | Accepting new patients |
| Liberty County Hospital District No 1 | Current | Accepting new patients | |
| Nameless Medicine PLLC | Current | Accepting new patients | |
| Arnot Medical Services PLLC | Emergency Medicine | Current | Accepting new patients |
| Liberty County Hospital District No 1 | Current | Accepting new patients | |
| Emergency Medicine Services of TX, PLLC | Emergency Medicine | Current | Accepting new patients |
| Liberty County Hospital District No 1 | Current | Accepting new patients | |
| Singleton Associates PA | Past | Accepting new patients | |
| Nes Medical Services of New York PC | Emergency Medicine | Past | 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
- 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.
-
- Emergency Medicine Physician
- Amarillo, TX
- NPI 1902621329
Emergency Medicine, TX
-
- Emergency Medicine Physician
- San Antonio, TX
- NPI 1245938729
Emergency Medicine, TX
-
- Rural Health Clinic/Center
- Liberty, TX
- NPI 1386401560
-
- Internal Medicine Physician
- Elmira, NY
- NPI 1427326768
Emergency Medicine
-
- Skilled Nursing Facility
- Humble, TX
- NPI 1114126612
-
- Diagnostic Radiology Physician
- Shenandoah, TX
- NPI 1538107875
-
- Emergency Medicine Physician
- Bath, NY
- NPI 1215455191
Emergency Medicine
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Pearland, TX
- NPI 1962852046
-
- Skilled Nursing Facility
- League City, TX
- NPI 1457119729
Nursing home
-
- Skilled Nursing Facility
- Porter, TX
- NPI 1548974777
Nursing home
-
- Skilled Nursing Facility
- Friendswood, TX
- NPI 1194142042
Nursing home
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.