Active NPI
Bhushan Kukkalli, M.D.
- Emergency Medicine Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- L2391
- Practice address
- 6565 Fannin St.
Methodist Hospital
Houston, TX 77030 - Phone
- (972) 393-1140
- Fax
- (972) 393-7933
- NPI assigned
- Dec 16, 2005
- Sex
- Male
- Sole proprietor
- No
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 | L2391 | TX | Primary |
Addresses
Primary practice location
6565 Fannin St.
Methodist Hospital
Houston, TX 77030
Mailing address
5221 Pine St
Bellaire, TX 77401-4820
Phone (713) 669-0807
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 148071705 | Medicaid | TX | |
| 148071703 | Medicaid | TX | |
| 8F8317 | Other | TX | BCBSTX PROV NO |
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
- Emergency Medicine
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
27560 US 290 Frontage Rd
Cypress, TX 77433-4909
Phone (281) 737-2424
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L2391 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Travis County Emergency Physicians PA | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Services of TX, PLLC | Emergency Medicine | Current | Accepting new patients |
| Brazos Valley Emergency Physicians PA | Emergency Medicine | Current | Accepting new patients |
| Acs Primary Care Physicians Southwest, PA | Emergency Medicine | Current | Accepting new patients |
| Usacs Integrated Acute Care Services of Texas, PLLC | Current | Accepting new patients | |
| Bay Area Emergency Partners | Emergency Medicine | Current | Accepting new patients |
| Jingle Ching Kavinta PLLC | Current | Accepting new patients | |
| Bryan Emergency Physicians PA | Emergency Medicine | Current | Accepting new patients |
| Brazos Emergency Physicians, PA | Emergency Medicine | Past | Accepting new patients |
| Greater Houston Emergency Physicians PLLC | Emergency Medicine | Past | Accepting new patients |
| Bay Prairie Emergency Physicians PLLC | Emergency Medicine | Past | Accepting new patients |
| Singleton Associates PA | Past | Accepting new patients | |
| Fort Bend Emergency Associates PA | Emergency Medicine | Past | Accepting new patients |
| Methodist Health Centers | Past | Accepting new patients | |
| Valley Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
Locations (25 of 36)
2860 S Gordon St
Alvin, TX 77511
Phone (218) 968-7500
3501 Mills Ave
Austin, TX 78731
Phone (512) 324-1017
7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305
4401 Garth Rd
Baytown, TX 77521
Phone (281) 420-8500
2801 Franciscan Dr
Bryan, TX 77802
Phone (409) 776-3777
1103 E Houston St
Cleveland, TX 77327
Phone (281) 593-8350
9645 Barker Cypress Rd
Cypress, TX 77433
Phone (281) 256-1456
21214 Northwest Fwy
Cypress, TX 77429
Phone (832) 912-3500
225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400
12285 Bandera Rd
Helotes, TX 78023
Phone (210) 575-2285
710 FM 1960 Rd W
Houston, TX 77090
Phone (281) 440-1000
22475 Tomball Pkwy
Houston, TX 77070
Phone (281) 320-5800
18220 Tomball Pkwy
Houston, TX 77070
Phone (281) 477-0000
6191 E Sam Houston Pkwy N
#B
Houston, TX 77049
Phone (713) 295-5300
2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779
10655 Steepletop Dr
Houston, TX 77065
Phone (281) 890-4285
1313 Hermann Dr
Houston, TX 77004
Phone (713) 527-5000
12650 Crossroads Park Dr
Ste 100
Houston, TX 77065
Phone (281) 509-4705
18500 Katy Fwy
Houston, TX 77094
Phone (281) 206-9020
260 Cully Dr
Kerrville, TX 78028
Phone (830) 258-7323
6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000
1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050
2901 4th St
Longview, TX 75605
Phone (281) 371-1800
210 S Judson St
Navasota, TX 77868
Phone (936) 825-6585
4600 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (713) 853-9302
Organizations & group practices 15
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.
-
- Emergency Medicine Physician
- Austin, TX
- NPI 1962440933
-
- Emergency Medicine Physician
- Gainesville, TX
- NPI 1538101019
-
- Emergency Medicine Physician
- Lake Jackson, TX
- NPI 1093032963
-
- Emergency Medicine Physician
- Navasota, TX
- NPI 1982642955
-
- Emergency Medicine Physician
- Bryan, TX
- NPI 1417995481
-
- Emergency Medicine Physician
- San Antonio, TX
- NPI 1245938729
-
- Internal Medicine Physician
- Cedar Park, TX
- NPI 1801300322
-
dba K-Med Health Services
- Family Nurse Practitioner
- Las Vegas, NV
- NPI 1972119709
TX
-
- Emergency Medicine Physician
- Bay City, TX
- NPI 1760719215
-
- Emergency Medicine Physician
- Houston, TX
- NPI 1205948635
-
- Emergency Medicine Physician
- Katy, TX
- NPI 1487856886
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1316363336
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bryan, TX
- NPI 1942294939
-
dba CHI St. Joseph Health College Station Hospital
- General Acute Care Hospital
- College Station, TX
- NPI 1053963009
-
dba Houston Methodist Hospital
- General Acute Care Hospital
- Houston, TX
- NPI 1548387418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268092800000",
"number": "1871579276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5221 PINE ST",
"city": "BELLAIRE",
"state": "TX",
"postal_code": "774014820",
"telephone_number": "713-669-0807",
"fax_number": "713-669-0807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6565 FANNIN ST.",
"address_2": "METHODIST HOSPITAL",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77030",
"telephone_number": "972-393-1140",
"fax_number": "972-393-7933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUKKALLI",
"first_name": "BHUSHAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-16",
"last_updated": "2010-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "L2391",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "148071705",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "148071703",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTX PROV NO",
"identifier": "8F8317",
"state": "TX"
}
],
"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 Mar 9, 2010; 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.