Organization Active NPI

Thrity Desai MD PA

Doing business as Northwest Pediatric Clinic

  • Pediatrics Physician
  • Houston, TX
National Provider Identifier
1104022060
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G9088 Issued in TX
Legal business name
THRITY DESAI MD PA
Doing business as
Northwest Pediatric Clinic
Practice address
4560 FM 1960 Rd W Ste 101
Houston, TX 77069-4628
Phone
(281) 444-0000
Fax
(281) 444-6158
NPI assigned
Jun 26, 2007
Last updated
Sep 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Authorized official

Name
Arusha Bavare, MDNPI 1730127770
Title
Ceo
Phone
(832) 289-5977

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X G9088 TX Primary

Addresses

Primary practice location

4560 FM 1960 Rd W Ste 101
Houston, TX 77069-4628

Mailing address

4560 FM 1960 Rd W Ste 101
Houston, TX 77069-4628
Phone (281) 444-0000

Other identifiers 1

IdentifierTypeStateIssuer
345472001MedicaidTX

Other names 1

  • Northwest Pediatric Clinic Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1002357Thrity Desai MD PA4560 FM 1960 Rd W Ste 101, Houston, TX 77069Certificate of waiverAug 5, 2026

National Provider Directory

National Provider Directory

Locations

4560 FM 1960 Rd W
Ste 101
Houston, TX 77069
Phone (281) 444-0000

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757030400000",
    "number": "1104022060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4560 FM 1960 RD W STE 101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770694628",
            "telephone_number": "281-444-0000",
            "fax_number": "281-444-6158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 FM 1960 RD W STE 101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770694628",
            "telephone_number": "281-444-0000",
            "fax_number": "281-444-6158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRITY DESAI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A",
        "authorized_official_last_name": "BAVARE",
        "authorized_official_first_name": "ARUSHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-289-5977",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "G9088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "345472001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Pediatric Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.