Individual provider Active NPI

Aishwarya Raju

  • Psychiatry Physician
  • Sugar Land, TX
National Provider Identifier
1023435278
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
R5632 Issued in TX
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2362429MedicaidLA
11393485OtherTXDRIVER'S LICENSE

Electronic endpoints 2

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190823001934 TX Practitioner - Psychiatry 8426386780 Reassigns benefits to 1 organization

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
Texas Behavioral Health PLLCGroup PAC ID 3971890948, 46 clinicians

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

LicenseStateTypeSpecialty
R5632TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Psychiatry Institute, LLC CurrentSince Jun 1, 2023 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.