Individual provider Active NPI

Bhushan Kukkalli, M.D.

  • Emergency Medicine Physician
  • Houston, TX
National Provider Identifier
1871579276
Registry record updated Mar 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
L2391 Issued in TX
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

Updated by the provider on Mar 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
148071705MedicaidTX
148071703MedicaidTX
8F8317OtherTXBCBSTX 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090925000474 TX Practitioner - Emergency Medicine 7315093754 Reassigns benefits to 8 organizations

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
Travis County Emergency Physicians PAGroup PAC ID 0840289468, 289 clinicians

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

LicenseStateTypeSpecialty
L2391TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Travis County Emergency Physicians PA Emergency Medicine CurrentSince Jul 19, 2023 Accepting new patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Brazos Valley Emergency Physicians PA Emergency Medicine CurrentSince Nov 1, 2024 Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince Mar 1, 2013 Accepting new patients
Usacs Integrated Acute Care Services of Texas, PLLC CurrentSince Mar 1, 2025 Accepting new patients
Bay Area Emergency Partners Emergency Medicine CurrentSince May 8, 2010 Accepting new patients
Jingle Ching Kavinta PLLC CurrentSince Apr 27, 2025 Accepting new patients
Bryan Emergency Physicians PA Emergency Medicine CurrentSince Nov 1, 2024 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.

View all 15

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.