NPPES file of Aug 9, 2026

Ashwin Sam Koshy, DO

Family Medicine Physician · Lytle, TX

Ashwin Sam Koshy, DO is a family medicine physician with a practice address in Lytle, Texas, and NPI 1083141360, issued on May 17, 2017. Check the license (Texas V4695, as entered in NPPES) on the Texas Medical Board; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1083141360
Name
Ashwin Sam Koshy
Credential
DO
Primary taxonomy
Family Medicine Physician 207Q00000X
License number
V4695 TX
Self-reported in NPPES; status is on the state search
Practice location
19010 Preist Blvd, Lytle, TX 78052
Phone
(830) 772-9865
Enumerated
May 17, 2017
Record last updated
Feb 10, 2026
Fax
(830) 772-9821
Medicare enrollment
Enrolled (PECOS I20250129001260); accepts Medicare assignment
Medical or professional school
Lincoln Mem Univ, Debusk Col Of Osteopathic Med, 2017
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 19010 Preist Blvd

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Lauren Billings, PHARMDPharmacist1376052373
  2. Lynette Herrera SemanaFamily Nurse Practitioner1174397996
  3. Aaron Hoffmann, NP-CFamily Nurse Practitioner1447628383
  4. Guadalupe Rios, FNP-BCFamily Nurse Practitioner1952617375

Verify Ashwin Sam Koshy in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersTexas Medical Board
    Search for license V4695
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Texas license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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58% fewer Medicare Part D claims than the average family medicine physician in 2024

1,485 Medicare Part D claims for 192 beneficiaries, against an average of 3,544 among the 117,163 providers of this specialty who prescribed in Part D. Brand-name drugs were 18% of claims.

  1. Ashwin Koshy1,485
  2. Specialty average3,544

Most prescribed

  1. Atorvastatin Calcium155 claims
  2. Levothyroxine Sodium103 claims
  3. Amlodipine Besylate96 claims
  4. Hydrochlorothiazide82 claims
  5. Lisinopril76 claims
  6. Losartan Potassium63 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Industry payments in 2024: $2,272.53

26 payments; by number, the most common kind was food and beverage; the largest payer was AstraZeneca Pharmaceuticals LP. The 55,478 providers of this specialty with any payment received $902.55 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Ashwin Koshy$2,272.53
  2. Specialty average$902.55

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Atascosa Health Center, Inc.Lytle, TX

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Ashwin Sam Koshy among 11,119 family medicine physician records in Texas

Ashwin Sam Koshy, DO is one of 11,119 family medicine physician records with a practice address in Texas. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2017, is newer than 80% of them.

  • NPI issued2017 · 80% of these records are older, 18% newer
  • In a Medicare fileYes · 82% of these records are
  • In the CMS Doctors and Clinicians fileYes · 64% of these records are
  • Graduated2017 · median 2004 among the 7,095 with a school on file
  • Record last updated2026 · 51% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

2 family medicine physician records list a practice address in Lytle

They are 2 of the 115 NPPES records with a practice address in Lytle, and 11,119 family medicine physician records in Texas.

The 8 family medicine physician records with the nearest ZIP codes

  1. Glendon Hack, MDLytle, TX 780521629073648
  2. Alex Blanco, MDLaredo, TX 780451962573055
  3. Cynthia Cantu, MDLaredo, TX 780451558432641
  4. Isaias Garza, M.D.Laredo, TX 780451558406116
  5. Rachael Murphy, DOLaredo, TX 780451366971178
  6. Luz Rodriguez, MDLaredo, TX 780451730672486
  7. Adrian Villarreal, DOLaredo, TX 780451780264317
  8. Amber Benavides, PALaredo, TX 780431104592005

Common questions

What is Ashwin Sam Koshy, DO's NPI number?

Ashwin Sam Koshy, DO's National Provider Identifier (NPI) is 1083141360, issued on May 17, 2017. An NPI identifies a provider in billing; it is not a license.

Where is Ashwin Sam Koshy, DO located?

The NPPES record lists a practice address at 19010 Preist Blvd, Lytle, TX, 78052. Phone: (830) 772-9865. Providers update this record themselves, so call before visiting.

How can I verify Ashwin Sam Koshy, DO's license?

NPPES lists Texas license number V4695, as entered by the provider. Search the Texas Medical Board at https://profile.tmb.state.tx.us/Search.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Ashwin Sam Koshy, DO prescribe under Medicare Part D?

In 2024, Ashwin Sam Koshy, DO had 1,485 Medicare Part D claims for 192 beneficiaries; the average among family medicine physician prescribers was 3,544. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.