VIVEK KUSHWAHA M.D.
NPI 1982681730
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Houston, TX

Active since December 22, 2005PECOS EnrolledAccepts Medicare Assignment
70.11/100
CMS Quality Rating
18885 KATY FWY, HOUSTON, TX 77094(281) 829-2000(888) 355-5052 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vivek Kushwaha M.d. NPPES

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

VIVEK KUSHWAHA M.D. (NPI 1982681730) is an individual orthopaedic surgery of the spine provider in Houston, Texas, licensed in Texas (K3290) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1982681730
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameVIVEK KUSHWAHACredential: M.D.
Location Address18885 KATY FWYHouston, TX 77094-1103
Mailing AddressPo Box 207Houston, TX 77001-0207 · (713) 650-6900 · Fax (888) 355-5052
Fax(888) 355-5052
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 1991
Enumeration DateDecember 22, 2005
Last NPPES UpdateJuly 30, 2025
NPPES CertifiedJuly 30, 2025
NPI 1982681730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License Licensed in TX · K3290
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License K3290 (TX)
18885 KATY FWY, Houston, TX 77094

Secondary Practice Location 1

Location 12600 North Loop W Ste 100Houston, TX 77092-8915 · Phone (713) 650-6900 · Fax (888) 355-5052

Other Identifiers 1

Medicaid103606301TX

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Vivek Kushwaha M.d. 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 ID3173558525
PECOS Enrollment IDI20100511000465
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.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
231 services128 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
212 services135 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
170 services117 patients
X-ray of upper spine, 2-3 views 72040
An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.
71 services44 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
38 services38 patients
X-ray of middle and lower spine, 2 views 72080
An X-ray of the middle and lower spine, or 2-view lumbar spine X-ray, involves capturing images of your back. This helps detect issues like fractures, infections, or other abnormalities. It's painless and quick, taking only a few minutes.
31 services15 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450068
Location6411 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Ad Hospital East, LLC

Acute Care Hospitals · Houston, TX
OwnershipProprietary
CMS Certification Number670102
Location12950 East Freeway, Suite 100Houston, TX 77015 · Harris County
Emergency services

Altus Houston Hospital, LP

Acute Care Hospitals · Houston, TX
OwnershipProprietary
CMS Certification Number670135
Location6011 W Sam Houston Pkwy SouthHouston, TX 77072 · Harris County
Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

70.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality51.48
Promoting Interoperability92
Improvement Activities40
Cost55.56

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
35%176 patients2/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
12%2,789 patients1/55-star benchmark: 100%
e-Prescribing
100%879 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
6%437 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
20%1,323 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%1,333 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%2,758 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 3% · 938 patients
3%938 patients
Provide Patients Electronic Access to Their Health Information
87%591 patients4/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
5%261 patients1/55-star benchmark: 98%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 479 patients
Patients totalRate: 9% · 479 patients
9%479 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Osteogenesis stimulator, electrical, non-invasive, spinal applications E0748
DME-Other DME · category DE000N
2 suppliers23 claims23 services$3,751.73 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

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

Orthopaedic Surgery
18885 KATY FWY
HOUSTON, TX 77094
Physician Assistant
18885 KATY FWY
HOUSTON, TX 77094
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
18885 KATY FWY
HOUSTON, TX 77094
Physician Assistant
18885 KATY FWY
HOUSTON, TX 77094
Physician Assistant (Surgical)
18885 KATY FWY
HOUSTON, TX 77094
Orthopaedic Surgery
18885 KATY FWY
HOUSTON, TX 77094
Physician Assistant (Surgical)
18885 KATY FWY
HOUSTON, TX 77094
Podiatrist (Foot & Ankle Surgery)
18885 KATY FWY
HOUSTON, TX 77094

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 Vivek Kushwaha's NPI number?

The NPI number for Vivek Kushwaha is 1982681730. It was assigned to this individual provider in the NPPES registry on December 22, 2005.

Where is Vivek Kushwaha located?

Vivek Kushwaha practices at 18885 Katy Fwy, Houston, TX 77094. The listed phone number is (281) 829-2000.

What is Vivek Kushwaha's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Vivek Kushwaha enrolled in Medicare?

Yes. Vivek Kushwaha 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.

What insurance does Vivek Kushwaha accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Vivek Kushwaha 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.

Is Vivek Kushwaha affiliated with any hospitals?

According to CMS data, Vivek Kushwaha is affiliated with Memorial Hermann - Texas Medical Center, Ad Hospital East, LLC and Altus Houston Hospital, LP.

When was this NPI record last updated?

The NPPES record for Vivek Kushwaha was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.