Individual provider Active NPI

Ruchi Kaushik, MD

  • Pediatrics Physician
  • Houston, TX
National Provider Identifier
1902965767
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
Q0287 Issued in TX
Practice address
3200 Southwest Fwy Ste 2100
Houston, TX 77027-7525
Phone
(833) 208-7770
Fax
(833) 464-3584
NPI assigned
Dec 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD500003353 DC
Pediatrics Physician 208000000X 343138 LA
Pediatrics Physician 208000000X 33853 MS
Pediatrics Physician 208000000X 143466 MT
Pediatrics Physician 208000000X 234312 NY
Pediatrics Physician 208000000X ME168269 FL
Pediatrics Physician 208000000X Q0287 TX Primary
Pediatrics Physician 208000000X 71372 TN

Addresses

Primary practice location

3200 Southwest Fwy Ste 2100
Houston, TX 77027-7525

Mailing address

220 Athens Way Ste 240
Nashville, TN 37228-1311
Phone (833) 208-7770

Other practice location 1

3109 W Dr Martin Luther King Jr Blvd Ste 350
Tampa, FL 33607-6208
Phone (833) 208-7770

Other identifiers 15

IdentifierTypeStateIssuer
1201570MedicaidNE
0723247MedicaidIA
1201569MedicaidNE
1723247MedicaidIA
250907OtherNEMIDLANDS CHOICE
1201571MedicaidNE
30593OtherNEBCBS OF NEBRASKA
1201566MedicaidNE
2723247MedicaidIA
100253323-00MedicaidNE
ENROLLEDMedicaidMN
1201564MedicaidNE
1201565MedicaidNE
1201567MedicaidNE
1201568MedicaidNE

Other names 1

  • Dr. Ruchi Vashistha Former name

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
I20141024000475 TX Practitioner - Pediatric Medicine 6103958095 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD500003353DCMDPediatrics Physician
ME168269FLMDPediatrics Physician
343138LAMDPediatrics Physician
33853MSMDPediatrics Physician
143466MTMDPediatrics Physician
234312NYMDPediatrics Physician
71372TNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine Pediatrics CurrentSince Sep 1, 2014 Accepting new patients
Father Flanagan'S Boys' Home Pediatrics Past Accepting new patients
Imagine Pediatrics of Florida LLC Pediatrics PastSince Feb 11, 2024 Accepting new patients

Locations

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

333 N Santa Rosa
San Antonio, TX 78207
Phone (210) 704-2190

Interoperability endpoints

  • Direct secure messaging: ruchi.kaushik.1@27760.direct.athenahealth.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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1902965767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 ATHENS WAY STE 240",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372281311",
            "telephone_number": "833-208-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 SOUTHWEST FWY STE 2100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770277525",
            "telephone_number": "833-208-7770",
            "fax_number": "833-464-3584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3109 W Dr Martin Luther King Jr Blvd Ste 350",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336076208",
            "country_code": "US",
            "telephone_number": "833-208-7770",
            "fax_number": "833-450-0456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAUSHIK",
        "first_name": "RUCHI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-07",
        "last_updated": "2024-12-18",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "DC",
            "license": "MD500003353",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "343138",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "33853",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MT",
            "license": "143466",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "234312",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME168269",
            "primary": false
        },
        {
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            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "Q0287",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "71372",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1201570",
            "state": "NE"
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            "issuer": null,
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            "issuer": null,
            "identifier": "1201569",
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            "identifier": "1723247",
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        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "250907",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1201571",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NEBRASKA",
            "identifier": "30593",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1201566",
            "state": "NE"
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        {
            "code": "05",
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            "issuer": null,
            "identifier": "2723247",
            "state": "IA"
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        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100253323-00",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1201564",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1201565",
            "state": "NE"
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        {
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            "issuer": null,
            "identifier": "1201567",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1201568",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUCHI",
            "last_name": "VASHISTHA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.