Individual provider Active NPI

Todd Anthony Maraist, MD

  • Neurology Physician
  • College Station, TX
National Provider Identifier
1467560029
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
H6405 Issued in TX
Practice address
4421 Hwy 6 South
Ste 100
College Station, TX 77845
Phone
(979) 690-4470
Fax
(979) 690-4471
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 0101273994 VA
Pain Medicine Physician 208VP0000X H6405 TX
Neurology Physician 2084N0400X H6405 TX Primary

Addresses

Primary practice location

4421 Hwy 6 South
Ste 100
College Station, TX 77845

Mailing address

17200 St Lukes Way Ste 100
The Woodlands, TX 77384-8007
Phone (936) 266-2000

Other practice location 1

12200 Warwick Blvd Ste 110
Newport News, VA 23601-2344
Phone (757) 534-5100

Other practice location 2

17200 St Lukes Way Ste 100
The Woodlands, TX 77384-8007
Phone (936) 266-2000

Other identifiers 2

IdentifierTypeStateIssuer
130461003MedicaidTX
00N38VOtherTXBCBS OF TEXAS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, VA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20051114000508 TX Practitioner - Neurology 4284653825 Reassigns benefits to 1 organization
I20220418000268 VA Practitioner - Neurology 4284653825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Texas Medical School at San Antonio, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bon Secours Medical Group Hampton Roads Specialty Care LLCGroup PAC ID 3173955671, 197 clinicians
Baylor St. Luke'S Medical GroupGroup PAC ID 9133213192, 172 clinicians

Practice addresses (Care Compare)

150 Kingsley LN
Norfolk, VA 23505-4602
Phone (757) 398-2673

17350 St Lukes Way
Suite 400
The Woodlands, TX 77384-4167
Phone (281) 444-3278

3636 High St
Portsmouth, VA 23707-3236
Phone (757) 398-2222

Hospital & facility affiliations

  • St Luke'S the Woodlands Hospital Hospital, The Woodlands, TX, CCN 450862
  • Bon Secours Maryview Medical Center Hospital, Portsmouth, VA, CCN 490017
  • CHI St Lukes Health Memorial Livingston Hospital, Livingston, TX, CCN 450395

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H6405TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor St. Luke'S Medical Group CurrentSince May 1, 2022 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC Neurology CurrentSince Apr 1, 2024 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC CurrentSince Apr 1, 2024 Accepting new patients
Jonathan a. Friedman, M.D., PLLC Past Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients
Todd a. Maraist, MD Neurology PastSince Jan 1, 1990 Accepting new patients

Locations

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

6624 Fannin St
Ste 1240
Houston, TX 77030
Phone (832) 355-5575

17200 St Lukes Way
The Woodlands, TX 77384
Phone (936) 266-2008

17350 St Lukes Way
Ste 400
The Woodlands, TX 77384
Phone (832) 249-3721

17200 St Lukes Way
Ste 100
The Woodlands, TX 77384

17198 St Lukes Way
Ste 440
The Woodlands, TX 77384
Phone (936) 266-2500

150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944

1002 Bon Secours Dr
Suffolk, VA 23435
Phone (757) 541-1110

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JIHBCA

Organizations & group practices 6

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1467560029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17200 ST LUKES WAY STE 100",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773848007",
            "telephone_number": "936-266-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4421 HWY 6 SOUTH",
            "address_2": "STE 100",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "77845",
            "telephone_number": "979-690-4470",
            "fax_number": "979-690-4471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12200 Warwick Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236012344",
            "country_code": "US",
            "telephone_number": "757-534-5100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17200 St Lukes Way Ste 100",
            "address_purpose": "LOCATION",
            "city": "The Woodlands",
            "state": "TX",
            "postal_code": "773848007",
            "country_code": "US",
            "telephone_number": "936-266-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARAIST",
        "first_name": "TODD",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101273994",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TX",
            "license": "H6405",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "H6405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130461003",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "00N38V",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

Verify at the official NPI Registry.