| Bhushan Kukkalli, MD | |
|
6565 Fannin St., Methodist Hospital, Houston, TX 77030 | |
| (972) 393-1140 | |
| (972) 393-7933 |
| Full Name | Bhushan Kukkalli |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 34 Years |
| Location | 6565 Fannin St., Houston, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871579276 | NPI | - | NPPES |
| 148071705 | Medicaid | TX | |
| 148071703 | Medicaid | TX | |
| 8F8317 | Other | TX | BCBSTX PROV NO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | L2391 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Houston Methodist Hospital | Houston, TX | Hospital |
| St Joseph Regional Health Center | Bryan, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Travis County Emergency Physicians Pa | 0840289468 | 232 |
| Entity Name | Bryan Emergency Physicians Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417995481 PECOS PAC ID: 7416840574 Enrollment ID: O20040204000121 |
| Entity Name | Travis County Emergency Physicians Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962440933 PECOS PAC ID: 0840289468 Enrollment ID: O20040510000492 |
| Entity Name | Brazos Valley Emergency Physicians Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982642955 PECOS PAC ID: 0749276772 Enrollment ID: O20040521001234 |
| Entity Name | Acs Primary Care Physicians Southwest Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538101019 PECOS PAC ID: 1850204363 Enrollment ID: O20041206000027 |
| Entity Name | Bay Area Emergency Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093032963 PECOS PAC ID: 4688707110 Enrollment ID: O20100804000049 |
| Entity Name | Usacs Integrated Acute Care Services Of Texas, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801300322 PECOS PAC ID: 7618237264 Enrollment ID: O20180131000478 |
| Entity Name | Emergency Medicine Services Of Tx, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245938729 PECOS PAC ID: 3375909351 Enrollment ID: O20230517001124 |
| Mailing Address | Practice Location Address |
|---|---|
| Bhushan Kukkalli, MD 5221 Pine St, Bellaire, TX 77401-4820 Ph: (713) 669-0807 | Bhushan Kukkalli, MD 6565 Fannin St., Methodist Hospital, Houston, TX 77030 Ph: (972) 393-1140 |
Dr. Taketo Baba, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6621 Fannin St, Houston, TX 77030 Phone: 832-824-1000 | |
Aisha C Haynie, MD, MPA Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2223 West Loop S, Houston, TX 77027 Phone: 713-439-6913 | |
Hashim Zaidi, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6411 Fannin St, Houston, TX 77030 Phone: 713-500-7878 | |
Dr. Miguel A Nieto, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1504 Taub Loop, Emergency Center, Houston, TX 77030 Phone: 713-873-7045 | |
Dr. Louis Bruno Fornage, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1504 Taub Loop, Houston, TX 77030 Phone: 713-873-3060 Fax: 713-873-2325 | |
Amy Rossi, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6431 Fannin St, Jjl 431, Houston, TX 77030 Phone: 713-500-7882 | |
Lara Samarneh, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6431 Fannin St., Jjl270, Houston, TX 77030 Phone: 713-500-0758 Fax: 713-500-0758 |