Individual provider Active NPI

Nisha Annie Azhar, M.D.

  • Psychiatry Physician
  • Baytown, TX
National Provider Identifier
1275196073
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
U4461 Issued in TX
Practice address
855 Rollingbrook Dr Ste 105
Baytown, TX 77521-4073
Phone
(281) 428-7997
NPI assigned
Apr 17, 2019
Last updated
Jun 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X U4461 TX Primary
Child & Adolescent Psychiatry Physician 2084P0804X U4461 TX

Addresses

Primary practice location

855 Rollingbrook Dr Ste 105
Baytown, TX 77521-4073

Mailing address

855 Rollingbrook Dr Ste 105
Baytown, TX 77521-4073
Phone (281) 428-7997

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U4461TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rukshan Azhar Mdpa Child & Adolescent Psychiatry CurrentSince Jun 23, 2024 Accepting new patients
Nisha Azhar MD, PLLC CurrentSince May 4, 2025 Accepting new patients

Locations

855 Rollingbrook Dr
Ste 105
Baytown, TX 77521
Phone (281) 428-7997

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, 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": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1275196073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 ROLLINGBROOK DR STE 105",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775214073",
            "telephone_number": "281-428-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 ROLLINGBROOK DR STE 105",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775214073",
            "telephone_number": "281-428-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZHAR",
        "first_name": "NISHA",
        "middle_name": "ANNIE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-17",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "U4461",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "U4461",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

Verify at the official NPI Registry.