Active NPI
Aishwarya Raju
- Psychiatry Physician
- Sugar Land, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- R5632
- Practice address
- 3531 Town Center Blvd S Ste 102
Sugar Land, TX 77479-2591 - Phone
- (713) 429-5325
- Fax
- (281) 816-5931
- NPI assigned
- Mar 26, 2014
- Last updated
- Jan 2, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | R5632 | TX | Primary |
Addresses
Primary practice location
3531 Town Center Blvd S Ste 102
Sugar Land, TX 77479-2591
Mailing address
104 Whispering Pines Ave
Friendswood, TX 77546-4911
Phone (713) 429-5325
Other practice location 1
1901 SW H K Dodgen Loop Bldg 300
Temple, TX 76502-1814
Phone (254) 724-5437
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2362429 | Medicaid | LA | |
| 11393485 | Other | TX | DRIVER'S LICENSE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | araju701520@direct.sw.org | ||
| Direct Messaging Address | credentialing@texasbehavioral.com | Texas Behavioral Health PLLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- William Carey University College of Osteopathic Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3531 Town Ctr Blvd S
Suite 102
Sugar Land, TX 77479-2591
Phone (281) 819-1438
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R5632 | TX | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Psychiatry Institute, LLC | Current | Accepting new patients | |
| Kairos Medical LLC | Psychiatry | Past | Accepting new patients |
Locations
12234 Shadow Creek Pkwy
Bldg 4
Pearland, TX 77584
Phone (281) 668-8822
12234 Shadow Creek Pkwy
Ste 104
Pearland, TX 77584
Phone (832) 736-3696
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DEBFAD/Endpoint/DEBFAD
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatry Physician
- Pearland, TX
- NPI 1881044337
-
- Child & Adolescent Psychiatry Physician
- Houston, TX
- NPI 1689913279
-
- Psychiatry Physician
- Sugar Land, TX
- NPI 1619824182
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704153600000",
"number": "1023435278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 WHISPERING PINES AVE",
"city": "FRIENDSWOOD",
"state": "TX",
"postal_code": "775464911",
"telephone_number": "713-429-5325",
"fax_number": "281-816-5931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3531 TOWN CENTER BLVD S STE 102",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774792591",
"telephone_number": "713-429-5325",
"fax_number": "281-816-5931"
}
],
"practiceLocations": [
{
"address_1": "1901 SW H K Dodgen Loop Bldg 300",
"address_purpose": "LOCATION",
"city": "Temple",
"state": "TX",
"postal_code": "765021814",
"country_code": "US",
"telephone_number": "254-724-5437",
"fax_number": "254-724-7597",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAJU",
"first_name": "AISHWARYA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-26",
"last_updated": "2024-01-02",
"certification_date": "2024-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "R5632",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2362429",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER'S LICENSE",
"identifier": "11393485",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "araju701520@direct.sw.org",
"affiliation": "N",
"address_1": "1901 SW H K Dodgen Loop Bldg 300",
"city": "Temple",
"state": "TX",
"country_code": "US",
"postal_code": "765021814",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "credentialing@texasbehavioral.com",
"affiliation": "Y",
"affiliationName": "Texas Behavioral Health PLLC",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3531 Town Center Blvd S Ste 102",
"city": "Sugar Land",
"state": "TX",
"country_code": "US",
"postal_code": "774792591",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sugar Land, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.