Active NPI
Primary Medicine of Sunnyvale PLLC
- Family Medicine Physician
- Sunnyvale, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PRIMARY MEDICINE OF SUNNYVALE PLLC
- Practice address
- 3635 N Belt Line Rd # 110
Sunnyvale, TX 75182-9235 - Phone
- (214) 217-0403
- Fax
- (972) 430-3978
- NPI assigned
- Jan 28, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nishant Abraham Koshy
- Title
- Physician
- Phone
- (214) 735-0403
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
3635 N Belt Line Rd # 110
Sunnyvale, TX 75182-9235
Mailing address
3635 N Belt Line Rd Ste 110
Sunnyvale, TX 75182-9235
Phone (214) 217-0403
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2341658 | Primary Medicine of Sunnyvale PLLC | Certificate of waiver | Apr 6, 2028 |
National Provider Directory
National Provider DirectoryLocations
3635 N Belt Line Rd
Ste 110
Sunnyvale, TX 75182
Phone (214) 320-7199
3635 N Belt Line Rd
#110
Sunnyvale, TX 75182
Phone (214) 735-0403
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784764800000",
"number": "1750231007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3635 N BELT LINE RD STE 110",
"city": "SUNNYVALE",
"state": "TX",
"postal_code": "751829235",
"telephone_number": "214-217-0403",
"fax_number": "972-430-3978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3635 N BELT LINE RD # 110",
"city": "SUNNYVALE",
"state": "TX",
"postal_code": "751829235",
"telephone_number": "214-217-0403",
"fax_number": "972-430-3978"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIMARY MEDICINE OF SUNNYVALE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-28",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A",
"authorized_official_last_name": "KOSHY",
"authorized_official_first_name": "NISHANT",
"authorized_official_middle_name": "ABRAHAM",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "214-735-0403"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sunnyvale, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.