Individual provider Active NPI

Babu Draksharam, MD

  • Psychiatry Physician
  • Houston, TX
National Provider Identifier
1053402024
Registry record updated Sep 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
E5512 Issued in TX
Practice address
906 Wayside Dr
Houston, TX 77011-2518
Phone
(713) 923-6627
Fax
(713) 923-9383
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2011

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 E5512 TX Primary

Addresses

Primary practice location

906 Wayside Dr
Houston, TX 77011-2518

Mailing address

906 Wayside Dr
Houston, TX 77011
Phone (713) 923-6627

Other identifiers 1

IdentifierTypeStateIssuer
112023001MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315526400000",
    "number": "1053402024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 WAYSIDE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77011",
            "telephone_number": "713-923-6627",
            "fax_number": "713-923-9383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 WAYSIDE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770112518",
            "telephone_number": "713-923-6627",
            "fax_number": "713-923-9383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKSHARAM",
        "first_name": "BABU",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2011-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "E5512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112023001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.