Individual provider Active NPI

Betsy Koovakada

  • Family Nurse Practitioner
  • Missouri City, TX
National Provider Identifier
1689002628
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
703773 Issued in TX
Practice address
7126 Harwich LN
Missouri City, TX 77459-1750
Phone
(832) 368-8445
NPI assigned
Oct 30, 2013
Last updated
May 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 703773 TX Primary

Addresses

Primary practice location

7126 Harwich LN
Missouri City, TX 77459-1750

Mailing address

7126 Harwich LN
Missouri City, TX 77459-1750
Phone (832) 368-8445

Other practice location 1

850 Central Pkwy E Ste 275
Plano, TX 75074-5542
Phone (972) 881-4688

Other practice location 2

1327 Lake Pointe Pkwy Ste 305
Sugar Land, TX 77478-4394
Phone (713) 798-3520

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180126000417 TX Practitioner - Nurse Practitioner 6103185889 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Right Step Medical Center LLCGroup PAC ID 1052725900, 18 clinicians
Baylor St. Luke's Medical GroupGroup PAC ID 9133213192, 172 clinicians

Practice addresses (Care Compare)

11925 Southwest Fwy
Suite 12
Stafford, TX 77477-2300
Phone (281) 741-9145

208 Oak Dr S
Suite 200
Lake Jackson, TX 77566-5640
Phone (979) 285-3633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
703773TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Right Step Medical Center LLC CurrentSince Jun 1, 2025 Accepting new patients
Legacy Physiatry Group LLC CurrentSince Mar 19, 2025 Accepting new patients
JCD Associates LLC CurrentSince Jun 1, 2025 Accepting new patients
Baylor St. Luke's Medical Group Family CurrentSince May 15, 2025 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients

Locations

20207 Chasewood Park Dr
Ste 300
Houston, TX 77070
Phone (832) 534-7800

6624 Fannin St
Ste 1240
Houston, TX 77030
Phone (832) 355-5575

8312 Long Point Rd
Houston, TX 77055
Phone (713) 409-4343

9790 Fondren Rd
Houston, TX 77096
Phone (346) 692-2122

120 Flag Lake Dr
Ste 1
Lake Jackson, TX 77566
Phone (979) 299-6900

208 Oak Dr S
Ste 200
Lake Jackson, TX 77566
Phone (979) 285-1802

850 Central Pkwy E
Ste 275
Plano, TX 75074

1419 Mahlmann St
Rosenberg, TX 77471
Phone (281) 342-0065

11925 Southwest Fwy
Stafford, TX 77477
Phone (281) 741-9145

11925 Southwest Fwy
Ste 12
Stafford, TX 77477
Phone (281) 741-9145

1327 Lake Pointe Pkwy
Ste 305
Sugar Land, TX 77478
Phone (281) 637-7690

1327 Lake Pointe Pkwy
Ste 410
Sugar Land, TX 77478
Phone (281) 637-7650

17198 St Lukes Way
Ste 440
The Woodlands, TX 77384
Phone (936) 266-2500

Interoperability endpoints

  • Direct secure messaging: bkoovadada468744@direct.stlukeshealth.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/JIHBCA

Organizations & group practices 5

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": "1383091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1689002628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7126 HARWICH LN",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774591750",
            "telephone_number": "832-368-8445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7126 HARWICH LN",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774591750",
            "telephone_number": "832-368-8445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 Central Pkwy E Ste 275",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750745542",
            "country_code": "US",
            "telephone_number": "972-881-4688",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1327 Lake Pointe Pkwy Ste 305",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "774784394",
            "country_code": "US",
            "telephone_number": "713-798-3520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOOVAKADA",
        "first_name": "BETSY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-30",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "703773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

Verify at the official NPI Registry.