1. Home
  2. Directory
  3. Texas
  4. Lytle
  5. Family Medicine
  6. NPI Profile

ASHWIN SAM KOSHY DO
NPI 1083141360
Family Medicine in Lytle, TX

Active since May 17, 2017PECOS EnrolledAccepts Medicare Assignment
19010 PREIST BLVD, LYTLE, TX 78052(830) 772-9865(830) 772-9821 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 24, 2025, Feb 3, 2025, Jul 27, 2020 and 1 more (4 updates tracked since 2017).

About Ashwin Sam Koshy Do NPPES

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

ASHWIN SAM KOSHY DO (NPI 1083141360) is an individual family medicine provider in Lytle, Texas, licensed in Texas (V4695) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS and is a graduate of Lincoln Mem Univ, Debusk Col Of Osteopathic Med (2017).

NPPES Registry Identity

NPI1083141360
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameASHWIN SAM KOSHYCredential: DO
Location Address19010 PREIST BLVDLytle, TX 78052-3486
Mailing Address310 W Oaklawn RdPleasanton, TX 78064-4033 · (830) 569-8940
Phone(830) 772-9865
Fax(830) 772-9821
Sole ProprietorNo
Medical School CMSLincoln Mem Univ, Debusk Col Of Osteopathic MedGraduated 2017
Enumeration DateMay 17, 2017
Last NPPES UpdateFebruary 10, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2026
✔ NPI 1083141360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · V4695
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
19010 PREIST BLVD, Lytle, TX 78052
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ashwin Sam Koshy Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789934951
PECOS Enrollment IDI20201221002729, I20250129001260
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Ashwin Koshy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Atascosa Health Center, Inc.
Same address
Federally Qualified Health Center (FQHC)
19010 PREIST BLVD
Lytle, TX 78052
  • Reassigned Medicare billing, Texas enrollment
  • 23 clinicians in this Medicare group
NPI 1003359209 (830) 772-9865
Cornerstone Family Healthcare
1,625 mi
Federally Qualified Health Center (FQHC)
147 LAKE STREET
Newburgh, NY 12550
  • Reassigned Medicare billing, New York enrollment
  • 84 clinicians in this Medicare group
NPI 1689669079 (845) 563-8000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78052 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ATASCOSA HEALTH CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
19010 PREIST BLVD
LYTLE, TX 78052
Atascosa County (830) 772-9865
LYNETTE HERRERA SEMANA
Nurse Practitioner (Family)
19010 PREIST BLVD
LYTLE, TX 78052
Atascosa County (830) 772-9865
LAUREN BILLINGS PHARMD
Pharmacist
19010 PREIST BLVD
LYTLE, TX 78052
Atascosa County (830) 709-0360
MR. AARON CHRISTOPHER HOFFMANN NP-C
Nurse Practitioner (Family)
19010 PREIST BLVD
LYTLE, TX 78052
Atascosa County (830) 772-9865
MS. GUADALUPE RODRIGUEZ RIOS FNP-BC
Nurse Practitioner (Family)
19010 PREIST BLVD
LYTLE, TX 78052
Atascosa County (830) 772-9865

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 Ashwin Koshy's NPI number?

The NPI number for Ashwin Koshy is 1083141360. It was assigned to this individual provider in the NPPES registry on May 17, 2017.

Where is Ashwin Koshy located?

Ashwin Koshy practices at 19010 Preist Blvd, Lytle, TX 78052. The listed phone number is (830) 772-9865.

What is Ashwin Koshy's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ashwin Koshy enrolled in Medicare?

Yes. Ashwin Koshy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Ashwin Koshy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashwin Koshy reassigns Medicare benefits to 2 organizations: Atascosa Health Center, Inc. (Lytle, TX) and Cornerstone Family Healthcare (Newburgh, NY). Each 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 Ashwin Koshy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ashwin Koshy accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 4 other insurers list Ashwin Koshy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ashwin Koshy was last updated on February 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.