Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anishya Jose Idicula, PA

Individual provider Physician Assistant · NPI 1639908874

Anishya Jose Idicula, PA is a Physician Assistant in Houston, Texas. Qualified in 2024, 2 years ago. Practices with Physicians Referral Service, a 2,727-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
2
Licensed in
TX
In the registry since
2024
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1515 Holcombe Blvd
Houston, TX 77030-4000
Phone: (713) 792-6161
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA18991 (TX)

Record details

NPI number1639908874
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 27, 2024
Last updated in NPPESJune 2, 2025
Certification dateJune 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Physicians Referral Service — 2727 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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