Anisha Waxali MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ANISHA WAXALI MD PA

Practice address

4780 Sweetwater Blvd
Suite 100
Sugar Land, TX 77479-3162

Phone

(281) 491-0094

Fax

(281) 491-0111

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Anisha V Waxali, M.D.NPI 1790773042

Title

Physician

Phone

(281) 491-0094

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anisha Vakil Waxali, MD

  • Internal Medicine Physician
  • Sugar Land, TX
  • NPI 1790773042

  Internal Medicine, TX

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1124137591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4780 SWEETWATER BLVD",
            "address_2": "SUITE 100",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793162",
            "telephone_number": "281-491-0094",
            "fax_number": "281-491-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4780 SWEETWATER BLVD",
            "address_2": "SUITE 100",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793162",
            "telephone_number": "281-491-0094",
            "fax_number": "281-491-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANISHA WAXALI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "WAXALI",
        "authorized_official_first_name": "ANISHA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "281-491-0094",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37053802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angelina Francis Home Care LLC
• Dragana Angelova, DDS
• Angels on Call Health Care Providers, Inc.
• Nancy Ebele Aniekwe, RN
• Anis Healthcare Services Inc
• Anitha R Gowda M.D.P.a
• Zuneera Anjum
• Rosie Ann Annang-Johnson, RRT
• Annie Hsu and Associates PA
• Anointed Triniti Hospice LLC

• All providers in Sugar Land, TX
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.