Individual provider Active NPI

Misha Vladislavovich Koshelev, M.D., PH.D.

  • Dermatology Physician
  • Bellaire, TX
National Provider Identifier
1962849216
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
R1398 Issued in TX
Practice address
6500 West Loop S Ste 200a
Bellaire, TX 77401-3535
Phone
(713) 500-8260
Fax
(713) 524-3432
NPI assigned
May 28, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X R1398 TX Primary

Addresses

Primary practice location

6500 West Loop S Ste 200a
Bellaire, TX 77401-3535

Mailing address

PO Box 301173
Dallas, TX 75303-1173
Phone (713) 500-8260

Other names 1

  • Mikhail Vladislavovich Koshelev 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
I20170608002406 TX Practitioner - Dermatology 0345518635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Baylor College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

11452 Space Ctr Blvd
Houston, TX 77059-3599
Phone (832) 775-9800

11476 Space Ctr Blvd
Houston, TX 77059-3599
Phone (713) 486-1120

2525 Holly Hall St
Houston, TX 77054-4124

6410 Fannin St
Houston, TX 77030-3005

Hospital & facility affiliations

  • Harris Health Hospital, Houston, TX, CCN 450289

Merit-based Incentive Payment System (MIPS)

Final score
84.11 of 100Reported as group
Quality
69.15
Promoting interoperability
100
Improvement activities
40
Cost
73.63

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions194
Skin biopsy36

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Aug 1, 2017 Accepting new patients
Ut Physicians Dermatology CurrentSince Aug 1, 2017 Accepting new patients
Physicians Referral Service CurrentSince Jan 9, 2018 Accepting new patients
Ut Physicians PastSince Jan 22, 2023 Accepting new patients

Locations

6500 West Loop S
Ste 200A
Bellaire, TX 77401
Phone (713) 500-8260

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

2525 Holly Hall St
Ste 3B
Houston, TX 77054

6655 Travis St
Ste 700
Houston, TX 77030
Phone (713) 500-8260

11476 Space Center Blvd
Ste 101
Houston, TX 77059

1515 Holcombe Blvd
Houston, TX 77030
Phone (713) 794-5446

1515 Holcombe Blvd
#R4212
Houston, TX 77030
Phone (713) 794-5446

Interoperability endpoints

  • Direct secure messaging: mkoshelev13478@direct.uth.org

Organizations & group practices 4

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 1

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": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1962849216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 301173",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753031173",
            "telephone_number": "713-500-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 WEST LOOP S STE 200A",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013535",
            "telephone_number": "713-500-8260",
            "fax_number": "713-524-3432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSHELEV",
        "first_name": "MISHA",
        "middle_name": "VLADISLAVOVICH",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-28",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "R1398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIKHAIL",
            "last_name": "KOSHELEV",
            "middle_name": "VLADISLAVOVICH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bellaire, TX

Sources for this page

Verify at the official NPI Registry.