Ayesha Shaheryar

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

S4869 Issued in TX

Practice address

700 SE Inner Loop
Georgetown, TX 78626-7700

Phone

(512) 819-9400

NPI assigned

Apr 20, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Rock Springs Physician Group LLC

  • Psychiatry Physician
  • Georgetown, TX
  • NPI 1205221397

  Psychiatry, TX

  Medicare reassignment NPD
• Rock Springs, LLC

  • Psychiatric Hospital
  • Georgetown, TX
  • NPI 1184056954
  NPD (past)

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1477907012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12407 AUDANE DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787275762",
            "telephone_number": "929-256-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SE INNER LOOP",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267700",
            "telephone_number": "512-819-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHERYAR",
        "first_name": "AYESHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-20",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "S4869",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "S4869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seva Pediatrics LLC
• Jami Catherine Sewalson, RRT
• Malerie Shackleton
• Mooni Dilip Shah, D.D.S.
• Purvi H Shah, M.D.
• Shalene Badhan MD PLLC
• Anthony W Shallin, M.D.
• Ayesha Shariff, M.D.
• Nisha Sharma
• Alexandra Lane Sharpe

• All providers in Georgetown, TX
• Child & Adolescent Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.