COASTAL GASTROENTEROLOGY ASSOCIATES, PA
NPI 1043312515
Internal Medicine - Gastroenterology in Webster, TX

Active since September 03, 2006CLIA 45D2310026 · Certificate of Compliance
1015 W MEDICAL CENTER BLVD STE 1400, WEBSTER, TX 77598(281) 557-2527(281) 557-7203 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Coastal Gastroenterology Associates, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COASTAL GASTROENTEROLOGY ASSOCIATES, PA (NPI 1043312515) is a healthcare organization registered as a gastroenterology in Webster, Texas and active in the NPI registry since September 2006. The organization holds a CLIA Certificate of Compliance certificate valid through February 2, 2027 and lists Advitya Nonesupplied Malhotra, Owner, as its authorized official.

NPPES Registry Identity

NPI1043312515
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameCOASTAL GASTROENTEROLOGY ASSOCIATES, PA
Location Address1015 W MEDICAL CENTER BLVD STE 1400Webster, TX 77598-4055
Mailing Address1015 W Medical Center Blvd Ste 1400Webster, TX 77598-4055 · (281) 557-2527 · Fax (281) 557-7203
Fax(281) 557-7203
Organization SubpartNo
Authorized OfficialAdvitya Nonesupplied MalhotraOwner · (281) 557-2527
Enumeration DateSeptember 3, 2006
Last NPPES UpdateJune 15, 2026
NPPES CertifiedJune 15, 2026
✔ NPI 1043312515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1015 W MEDICAL CENTER BLVD STE 1400, Webster, TX 77598

Other Identifiers 7

Other2226780TX · Bcbs - Tx - Blue Link Id
Other5283Rr Mcr Group Number
Other4102895Aetna
OtherP00440059Rr Mcr
Other1164493870Npi - Individual
OtherB26780Mcr Upin - Individual
Other114758902TX · Thmp - Dr. Subramanyam

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Coastal Gastroenterology Associates, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20070220000668Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Coastal Gastroenterology Associates, PA, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Gastroenterology
NPI 1609070275
1015 W MEDICAL CENTER BLVD STE 1400
Webster, TX 77598
(281) 557-2527
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1962159616
1015 W MEDICAL CENTER BLVD STE 1300
Webster, TX 77598
(281) 557-2527
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1891291811
1015 W MEDICAL CENTER BLVD STE 1400
Webster, TX 77598
(630) 346-9227
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1427518919
1015 W MEDICAL CENTER BLVD STE 1400
Webster, TX 77598
(281) 557-2527
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 45D2310026

Coastal Gastroenterology Associates · Webster, TX
Active · expires Feb 2, 2027
CLIA Number45D2310026
Laboratory TypePhysician Office
Certificate Effective DateFebruary 3, 2025
Certificate Expiration DateFebruary 2, 2027
Laboratory DirectorKarla Perrizo
Laboratory Phone(281) 557-2527
Laboratory LocationCoastal Gastroenterology Associates1015 W Medical Center Blvd, Ste 1400, Webster, TX 77598
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coastal Gastroenterology Associates, PA's NPI number?

The NPI number for Coastal Gastroenterology Associates, PA is 1043312515. It was assigned to this organization in the NPPES registry on September 3, 2006.

Where is Coastal Gastroenterology Associates, PA located?

Coastal Gastroenterology Associates, PA is located at 1015 W Medical Center Blvd Ste 1400, Webster, TX 77598. The listed phone number is (281) 557-2527.

What is Coastal Gastroenterology Associates, PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Coastal Gastroenterology Associates, PA enrolled in Medicare?

Yes. Coastal Gastroenterology Associates, PA is registered in the Medicare PECOS enrollment system.

When is Coastal Gastroenterology Associates, PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Coastal Gastroenterology Associates, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Coastal Gastroenterology Associates, PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Gastroenterology (3) and Nurse Practitioner (1). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Coastal Gastroenterology Associates, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 45D2310026) is associated with this NPI, valid through February 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Coastal Gastroenterology Associates, PA was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.