Active NPI
Kourosh Keyhani, D.O.
- Vascular Surgery Physician
- Houston, TX
National Provider Identifier
1841486982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- M6225
- Practice address
- 1631 North Loop W
Suite 610
Houston, TX 77008-1528 - Phone
- (713) 486-0800
- NPI assigned
- Sep 22, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Trauma Surgery Physician | 2086S0127X | M6225 | TX | |
| Vascular Surgery Physician | 2086S0129X | M6225 | TX | Primary |
| Surgery Physician | 208600000X | M6225 | TX |
Addresses
Primary practice location
1631 North Loop W
Suite 610
Houston, TX 77008-1528
Mailing address
11726 Greenbay Dr
Houston, TX 77024
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
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- University of North Texas HSC, College of Osteopathic Med, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1631 N Loop W
Suite 250
Houston, TX 77008-1529
Phone (713) 864-2017
Hospital & facility affiliations
- Memorial Hermann Hospital System
- Memorial Hermann Memorial City Hospital
- Baptist Beaumont Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.11 of 100
- Quality
- 69.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.63
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 33 |
| Leg revascularization (restoring blood flow) | 38 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M6225 | TX | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vascular Physician Assistants of Houston PA | Surgery | Current | Accepting new patients |
| Ut Physicians | Surgery | Current | Accepting new patients |
| Ut Physicians | Current | Accepting new patients |
Locations
1631 North Loop W
Ste 610
Houston, TX 77008
Phone (713) 486-0800
1631 North Loop W
Ste 250
Houston, TX 77008
Phone (713) 802-1300
6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714
Interoperability endpoints
- kkeyhani15946@direct.uth.org
- kkeyhani43560@memorialhermann.direct-ci.com
Organizations & group practices 3
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.
-
- Surgery Physician
- Houston, TX
- NPI 1275051294
-
- Health Educator
- Houston, TX
- NPI 1316534472
Hospital & facility affiliations 15
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beaumont, TX
- NPI 1093744187
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721088000000",
"number": "1841486982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11726 GREENBAY DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1631 NORTH LOOP W",
"address_2": "SUITE 610",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770081528",
"telephone_number": "713-486-0800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEYHANI",
"first_name": "KOUROSH",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-22",
"last_updated": "2024-07-16",
"certification_date": "2024-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "TX",
"license": "M6225",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "TX",
"license": "M6225",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "M6225",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.