Active NPI
Sunita Sara Koshy-Nesbitt, MD
- Clinical Cardiac Electrophysiology Physician
- Dallas, TX
National Provider Identifier
1972704690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- N1372
- Practice address
- 5200 Harry Hines Blvd
Dallas, TX 75235-7709 - Phone
- (214) 590-8000
- NPI assigned
- May 30, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | N1372 | TX | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | N1372 | TX | Primary |
Addresses
Primary practice location
5200 Harry Hines Blvd
Dallas, TX 75235-7709
Mailing address
PO Box 845347
Dallas, TX 75284-7208
Phone (469) 291-3248
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8DM452 | Other | TX | BCBS INDIVIDUAL |
| 2815631-02 | Medicaid | TX | |
| N1372 | Other | TX | TEXAS MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N1372 | TX | MD | Clinical Cardiac Electrophysiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559520000000",
"number": "1972704690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 845347",
"city": "DALLAS",
"state": "TX",
"postal_code": "752847208",
"telephone_number": "469-291-3248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5200 HARRY HINES BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752357709",
"telephone_number": "214-590-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSHY-NESBITT",
"first_name": "SUNITA",
"middle_name": "SARA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-30",
"last_updated": "2019-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TX",
"license": "N1372",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "TX",
"license": "N1372",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS INDIVIDUAL",
"identifier": "8DM452",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2815631-02",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS MEDICAL LICENSE",
"identifier": "N1372",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.