Individual provider Active NPI

Fahd Rawra, MD

  • Psychiatry Physician
  • Missouri City, TX
National Provider Identifier
1245518786
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
Q1716 Issued in TX
Practice address
4810 Riverstone Blvd
Ste 100
Missouri City, TX 77459
Phone
(832) 916-2677
Fax
(832) 802-6163
NPI assigned
Aug 2, 2011
Last updated
May 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 14418C WY
Psychiatry Physician 2084P0800X MD48295 IA
Psychiatry Physician 2084P0800X CP839 NE
Psychiatry Physician 2084P0800X OK40548 OK
Psychiatry Physician 2084P0800X Q1716 TX Primary
Psychiatry Physician 2084P0800X 270630 NY
Psychiatry Physician 2084P0800X MC-1384 ID
Psychiatry Physician 2084P0800X CDR0002235 CO
Psychiatry Physician 2084P0800X MD209822 OR
Psychiatry Physician 2084P0800X 12805519-1235 UT

Addresses

Primary practice location

4810 Riverstone Blvd
Ste 100
Missouri City, TX 77459

Mailing address

4810 Riverstone Blvd Ste 100
Missouri City, TX 77459-4092
Phone (832) 916-2677

Other practice location 1

1801 Hickman Rd
Des Moines, IA 50314-1548
Phone (832) 604-3771

Other practice location 2

1280 Lexington Ave
New York, NY 10028-2105
Phone (877) 991-7744

Other practice location 3

3556 S 5600 W
Salt Lake City, UT 84120-2815
Phone (832) 604-3771

Other practice location 4

8059 W Preece Dr
Boise, ID 83704-9052
Phone (832) 604-3771

Other practice location 5

1050 E Flamingo Rd # S107
Las Vegas, NV 89119-7427
Phone (832) 604-3771

Other practice location 6

663 N 132nd St
Omaha, NE 68154-4031
Phone (205) 964-2924

Other practice location 7

308 E Burlington St
Iowa City, IA 52240-1602
Phone (877) 991-7744

Other practice location 8

1405 Dewar Dr
Rock Springs, WY 82901-5812
Phone (877) 991-7744

Other practice location 9

10350 E Dakota Ave
Denver, CO 80247-1314
Phone (832) 604-3771

Other practice location 10

500 N Meridian Ave Ste 100L
Oklahoma City, OK 73107-5706
Phone (877) 991-7744

Other practice location 11

1631 NE Broadway St
Portland, OR 97232-1425
Phone (832) 604-3771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA, IL, ME, KS, OH, IN, MO8 enrollments
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 8

Enrollment IDStateProvider typePAC IDDetails
I20151109001238 TX Practitioner - Psychiatry 3072783828 Reassigns benefits to 3 organizations
I20200702000853 CA Practitioner - Psychiatry 3072783828 Reassigns benefits to 1 organization
I20250811003033 IL Practitioner - Psychiatry 3072783828 Reassigns benefits to 1 organization
I20251230001260 ME Practitioner - Psychiatry 3072783828 Reassigns benefits to 1 organization
I20260212001860 KS Practitioner - Psychiatry 3072783828 Reassigns benefits to 1 organization
I20260213003850 OH Practitioner - Psychiatry 3072783828 Reassigns benefits to 1 organization
I20260305001565 IN Practitioner - Psychiatry 3072783828 Reassigns benefits to 1 organization
I20260403001282 MO Practitioner - Psychiatry 3072783828 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1518 Burnside St
Laredo, TX 78040-1266

4810 Riverstone Blvd
Suite 100
Missouri City, TX 77459-4092

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CDR0002235COMDPsychiatry Physician
MD48295IAMDPsychiatry Physician
MC-1384IDMDPsychiatry Physician
CP839NEMDPsychiatry Physician
OK40548OKMDPsychiatry Physician
MD209822ORMDPsychiatry Physician
12805519-1235UTMDPsychiatry Physician
14418CWYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Border Region MH Mr Community Center Psychiatry CurrentSince Feb 1, 2018 Accepting new patients
TP Health TX PC Neurology CurrentSince Jun 28, 2025 Accepting new patients
Heart of Texas Region MHMR Center CurrentSince Mar 1, 2020 Accepting new patients
TP-Health Incorporated Neurology CurrentSince Sep 14, 2019 Accepting new patients

Locations

900 Commerce Place Dr
Forsyth, IL 62535
Phone (832) 916-2677

4011 S Monroe Medical Park Blvd
Bloomington, IN 47403
Phone (812) 825-5777

8929 Parallel Pkwy
Kansas City, KS 66112
Phone (913) 596-3930

770 Roosevelt Trl
Ste 8
North Windham, ME 04062
Phone (207) 300-2471

1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400

1460 Orange St
Coshocton, OH 43812
Phone (740) 545-7919

110 S Gordon St
Alvin, TX 77511
Phone (281) 968-7568

1500 Pappas St
Laredo, TX 78041
Phone (956) 794-3000

4810 Riverstone Blvd
Ste 1
Missouri City, TX 77459

4810 Riverstone Blvd
Ste 100
Missouri City, TX 77459
Phone (832) 916-2677

110 S 12th St
Waco, TX 76701
Phone (254) 297-7124

Organizations & group practices 5

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": "1312243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1245518786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4810 RIVERSTONE BLVD STE 100",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594092",
            "telephone_number": "832-916-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 RIVERSTONE BLVD",
            "address_2": "STE 100",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "77459",
            "telephone_number": "832-916-2677",
            "fax_number": "832-802-6163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 Hickman Rd",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503141548",
            "country_code": "US",
            "telephone_number": "832-604-3771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1280 Lexington Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100282105",
            "country_code": "US",
            "telephone_number": "877-991-7744",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3556 S 5600 W",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841202815",
            "country_code": "US",
            "telephone_number": "832-604-3771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8059 W Preece Dr",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837049052",
            "country_code": "US",
            "telephone_number": "832-604-3771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1050 E Flamingo Rd # S107",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891197427",
            "country_code": "US",
            "telephone_number": "832-604-3771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "663 N 132nd St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681544031",
            "country_code": "US",
            "telephone_number": "205-964-2924",
            "fax_number": "832-802-6163",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "308 E Burlington St",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522401602",
            "country_code": "US",
            "telephone_number": "877-991-7744",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1405 Dewar Dr",
            "address_purpose": "LOCATION",
            "city": "Rock Springs",
            "state": "WY",
            "postal_code": "829015812",
            "country_code": "US",
            "telephone_number": "877-991-7744",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10350 E Dakota Ave",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802471314",
            "country_code": "US",
            "telephone_number": "832-604-3771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 N Meridian Ave Ste 100L",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731075706",
            "country_code": "US",
            "telephone_number": "877-991-7744",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1631 NE Broadway St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972321425",
            "country_code": "US",
            "telephone_number": "832-604-3771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAWRA",
        "first_name": "FAHD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-02",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WY",
            "license": "14418C",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IA",
            "license": "MD48295",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NE",
            "license": "CP839",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "OK40548",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "Q1716",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "270630",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ID",
            "license": "MC-1384",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "CDR0002235",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD209822",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "UT",
            "license": "12805519-1235",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

Verify at the official NPI Registry.