Individual provider Active NPI

Praful Kaushik, M.D.

  • Internal Medicine Physician
  • Humble, TX
National Provider Identifier
1932544087
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
Q8529 Issued in TX
Practice address
1702 FM 1960 Bypass Rd E
Humble, TX 77338-3916
Phone
(281) 446-7173
Fax
(281) 446-3841
NPI assigned
May 2, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Q8529 TX Primary

Addresses

Primary practice location

1702 FM 1960 Bypass Rd E
Humble, TX 77338-3916

Mailing address

1702 FM 1960 Bypass Rd E
Humble, TX 77338-3916
Phone (281) 446-7173

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
I20160809002030 TX Practitioner - Internal Medicine 8426368788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Georgia School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mehta Medical Group PLLCGroup PAC ID 0941236301, 25 clinicians

Practice addresses (Care Compare)

17903 W Lake Houston Pkwy
Suite 201
Humble, TX 77346-3954
Phone (281) 446-7173

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mehta Medical Group PLLC Internal Medicine CurrentSince Jul 22, 2016 Accepting new patients

Locations

1702 FM 1960 Bypass Rd E
Humble, TX 77338
Phone (281) 446-7371

9816 Memorial Blvd
Ste 107
Humble, TX 77338
Phone (281) 446-4638

8901 FM 1960 Bypass Rd W
Ste 101
Humble, TX 77338
Phone (281) 812-1846

17903 W Lake Houston Pkwy
Ste 201
Humble, TX 77346
Phone (281) 446-7371

Interoperability endpoints

  • Direct secure messaging: praful.kaushik@wellspire.eclinicaldirectplus.com

Organizations & group practices 1

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.

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": "1367452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1932544087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 FM 1960 BYPASS RD E",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773383916",
            "telephone_number": "281-446-7173",
            "fax_number": "281-446-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 FM 1960 BYPASS RD E",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773383916",
            "telephone_number": "281-446-7173",
            "fax_number": "281-446-3841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUSHIK",
        "first_name": "PRAFUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-02",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "Q8529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

Verify at the official NPI Registry.