NPIMap

Individual provider Active NPI

Uday Khosla, MD

  • Nephrology Physician
  • Houston, TX
National Provider Identifier
1780689398
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
L2965 Issued in TX
Practice address
1724 Richmond Ave
Houston, TX 77098-3604
Phone
(713) 352-0903
Fax
(855) 464-9087
NPI assigned
Jun 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X L2965 TX Primary

Addresses

Primary practice location

1724 Richmond Ave
Houston, TX 77098-3604

Mailing address

337 Garden Oaks Blvd # 51007
Houston, TX 77018-5501
Phone (713) 352-0903

Other practice location 1

7015 Almeda Rd
Houston, TX 77054-2101
Phone (713) 520-6875

Other identifiers 1

IdentifierTypeStateIssuer
8H9905OtherTXBC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041018000838 TX Practitioner - NephrologyPractitioner - Internal Medicine 1557321122 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Cincinnati College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Remix Medical, PLLCGroup PAC ID 9638437338, 9 clinicians

Practice addresses (Care Compare)

625 McClintic Dr
Groesbeck, TX 76642-2135
Phone (713) 597-5131

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Lake Vascular Access Associates Series, PLLC Current Accepting new patients
Azuris Dialysis - Limestone County Current Accepting new patients
Remix Medical, PLLC Nephrology CurrentSince Nov 1, 2017 Accepting new patients
Baylor College of Medicine Past Accepting new patients
Baylor College of Medicine Past Accepting new patients
Kidney Associates, PLLC Nephrology Past Accepting new patients

Locations

9450 SW Gemini Dr
Beaverton, OR 97008
Phone (310) 974-8767

625 McClintic Dr
Groesbeck, TX 76642
Phone (254) 399-0741

337 Garden Oaks Blvd
#51007
Houston, TX 77018

1724 Richmond Ave
Houston, TX 77098
Phone (713) 597-5131

Interoperability endpoints

  • Direct secure messaging: uday.khosla.1@13131.direct.athenahealth.com
  • Direct secure messaging: ukhosla26339@directhoustonmethodist.org
  • Direct secure messaging: uday.khosla@k360.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IJDCCD

Organizations & group practices 7

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.

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": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1780689398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 GARDEN OAKS BLVD # 51007",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770185501",
            "telephone_number": "713-352-0903",
            "fax_number": "855-474-9087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 RICHMOND AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770983604",
            "telephone_number": "713-352-0903",
            "fax_number": "855-464-9087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7015 Almeda Rd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770542101",
            "country_code": "US",
            "telephone_number": "713-520-6875",
            "fax_number": "713-520-6876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHOSLA",
        "first_name": "UDAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "L2965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "8H9905",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.