Individual provider Active NPI

Ashutosh Atri, MD

  • Child & Adolescent Psychiatry Physician
  • Sugar Land, TX
National Provider Identifier
1215294004
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
P1445 Issued in TX
Practice address
77 Sugar Creek Center Blvd Ste 460
Sugar Land, TX 77478-3786
Phone
(877) 504-8504
NPI assigned
Apr 18, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X P1445 TX Primary

Addresses

Primary practice location

77 Sugar Creek Center Blvd Ste 460
Sugar Land, TX 77478-3786

Mailing address

77 Sugar Creek Center Blvd Ste 460
Sugar Land, TX 77478-3786
Phone (877) 504-8504

Other identifiers 3

IdentifierTypeStateIssuer
351484609MedicaidTX
26576OtherNENEBRASKA MEDICAL LICENSE #
P1445OtherTXTEXAS MEDICAL BOARD LICENSE #

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
I20150929002661 TX Practitioner - Psychiatry 2668638693 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Texas Medical School at Houston, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6500 Rookin St
Houston, TX 77074-5019
Phone (713) 351-7350

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P1445TXMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mark David Levine, MD Psychiatrists Professional Corporation CurrentSince Apr 3, 2025 Accepting new patients

Locations

77 Sugar Creek Center Blvd
Ste 460
Sugar Land, TX 77478
Phone (832) 821-0124

Interoperability endpoints

  • Direct secure messaging: ashutosh.atri@hca3.eclinicaldirectplus.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1215294004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 SUGAR CREEK CENTER BLVD STE 460",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783786",
            "telephone_number": "877-504-8504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 SUGAR CREEK CENTER BLVD STE 460",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783786",
            "telephone_number": "877-504-8504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATRI",
        "first_name": "ASHUTOSH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-18",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "P1445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "351484609",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEBRASKA MEDICAL LICENSE #",
            "identifier": "26576",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD LICENSE #",
            "identifier": "P1445",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.