Individual provider Active NPI

Taha Ansari

  • Psychiatry Physician
  • Temple, TX
National Provider Identifier
1538512629
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
S9451 Issued in TX
Practice address
1901 SW H K Dodgen Loop BLDG 300
Temple, TX 76502-1814
Phone
(254) 724-5437
Fax
(254) 724-7597
NPI assigned
Jul 13, 2016
Last updated
Jun 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A177431 CA
Psychiatry Physician 2084P0800X 35013 OK
Psychiatry Physician 2084P0800X C1-0024100 DE
Psychiatry Physician 2084P0800X 76821 WI
Psychiatry Physician 2084P0800X 25MA10780900 NJ
Psychiatry Physician 2084P0800X S9451 TX Primary
Child & Adolescent Psychiatry Physician 2084P0804X 25MA10780900 NJ

Addresses

Primary practice location

1901 SW H K Dodgen Loop BLDG 300
Temple, TX 76502-1814

Mailing address

PO Box 844658
Dallas, TX 75284-4658
Phone (254) 724-2111

Other practice location 1

1 Brookdale Plz
Brooklyn, NY 11212-3139
Phone (718) 240-5000

Other practice location 2

8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone (310) 423-3465

Other practice location 3

424 Savannah Rd
Lewes, DE 19958-1462
Phone (302) 645-3499

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tansari483841@direct.sw.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, TX, CA, DE, WI, VT, CO, MO, MD, IL10 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 10

Enrollment IDStateProvider typePAC IDDetails
I20200409000756 NJ Practitioner - Psychiatry 0749515948 Reassigns benefits to 2 organizations
I20210707002646 TX Practitioner - Psychiatry 0749515948 Reassigns benefits to 2 organizations
I20220422002006 CA Practitioner - Psychiatry 0749515948 Reassigns benefits to 5 organizations
I20220428001779 DE Practitioner - Psychiatry 0749515948 Reassigns benefits to 4 organizations
I20220505000913 WI Practitioner - Psychiatry 0749515948 Reassigns benefits to 2 organizations
I20230420001412 VT Practitioner - Psychiatry 0749515948 Reassigns benefits to 2 organizations
I20230505002564 CO Practitioner - Psychiatry 0749515948 Reassigns benefits to 3 organizations
I20241217000351 MO Practitioner - Psychiatry 0749515948 Reassigns benefits to 2 organizations
I20241223000542 MD Practitioner - Psychiatry 0749515948 Reassigns benefits to 1 organization
I20250305001955 IL Practitioner - Psychiatry 0749515948 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Scott and White ClinicGroup PAC ID 8123923604, 2,426 clinicians
SSM Health Care St LouisGroup PAC ID 7810800737, 171 clinicians
Darin Rentz DO PCGroup PAC ID 7315333853, 131 clinicians
The Monroe Clinic, Inc.Group PAC ID 3072425495, 199 clinicians
Bayhealth Medical Center, IncGroup PAC ID 1658364740, shared by 16 NPIs, 399 clinicians
Center for Family Guidance PCGroup PAC ID 2860396454, 164 clinicians

Practice addresses (Care Compare)

1 Good Samaritan Way
Mount Vernon, IL 62864-2402
Phone (557) 203-1601

100 Hillcrest Med Blvde
Waco, TX 76712-8897
Phone (254) 202-5800

100 Medical Pkwy
Lakeway, TX 78738-5621
Phone (512) 571-5000

12355 De Paul Dr
Suite 150
Bridgeton, MO 63044-2581
Phone (314) 344-7200

12505 Lebanon Rd
Frisco, TX 75035-8298
Phone (972) 963-3333

1315 Hospital Dr
St Johnsbury, VT 05819-9210
Phone (802) 748-8141

140 Hillcrest Medical Blvd
Waco, TX 76712-8897
Phone (254) 202-8330

1400 8TH Ave
Fort Worth, TX 76104-4110
Phone (817) 922-1957

150 Hillcrest Medical Blvd
Waco, TX 76712-8897
Phone (254) 202-4000

1605 S 31St St
Baylor Scott and White Center for Dia
Temple, TX 76508-0001
Phone (254) 215-0100

1650 W College St
Baylor Scott and White Medical Center Grape
Grapevine, TX 76051-3565
Phone (817) 329-2500

1901 N Macarthur Blvd
Baylor Scott and White Medical Center Irvin
Irving, TX 75061-2220
Phone (972) 579-8100

2400 N Interstate Hwy 35 E
Waxahachie, TX 75165-5240
Phone (469) 843-4000

2401 S 31 St
Temple, TX 76508-0001
Phone (254) 724-2459

2401 S 31St St BLDG
35 Baylor Scott and White Roney Bone and
Temple, TX 76508-0001
Phone (254) 724-2663

2600 E Pflugerville Pkwy
Pflugerville, TX 78660-5999

305 Mallard LN
Taylor, TX 76574-1208
Phone (512) 352-7611

310 E Hwy 67
Baylor Scott and White Charles a. Sammons Can
Duncanville, TX 75137-4159
Phone (469) 800-9000

350 Terracina Blvd
Redlands, CA 92373-4850
Phone (909) 335-5593

4700 Alliance Blvd
Plano, TX 75093-5323
Phone (469) 814-2000

515 22ND Ave
Monroe, WI 53566-1569
Phone (608) 324-2000

5245 W Hwy 290
Baylor Scott and White Medical Center Austi
Austin, TX 78735-8963
Phone (512) 654-2100

5251 W Hwy 290
Baylor Scott and White Clinic Austin Oak Hi
Austin, TX 78735-8963
Phone (512) 654-3000

5251 W Hwy 290 100
Baylor Scott and White Cancer and Infusion Ce
Austin, TX 78735-8963
Phone (512) 654-4319

5252 W University Dr
Baylor Scott and White Medical Center McKin
McKinney, TX 75071-7822
Phone (469) 764-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A177431CAMDPsychiatry Physician
35013OKMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aspen Valley Hospital Clinics, PLLC CurrentSince Apr 1, 2023 Accepting new patients
Northeastern Vermont Regional Hospital, Inc Current Accepting new patients
Gifford Medical Center Inc CurrentSince Apr 17, 2023 Accepting new patients
Bayhealth Medical Center, Inc. Current Accepting new patients
Central Counties Center for Mental Health & Mental Retardation SRVS CurrentSince May 22, 2023 Accepting new patients
Scott & White Clinic Psychiatry Current Accepting new patients
Aspen Valley Hospital District Clinics CurrentSince Apr 1, 2023 Accepting new patients
The Huntington Medical Foundation Psychiatry CurrentSince Mar 1, 2025 Accepting new patients
Physician Partners of Englewood, PC CurrentSince Apr 1, 2025 Accepting new patients
SSM Cardinal Glennon Childrens Hospital Psychiatry CurrentSince Jan 24, 2025 Accepting new patients
Tidalhealth Nanticoke, Inc CurrentSince Dec 1, 2022 Accepting new patients
SSM Health Care St Louis CurrentSince Dec 20, 2024 Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Apr 1, 2022 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince May 1, 2024 Accepting new patients
Northeastern Vermont Regional Hospital, Inc Current Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Apr 1, 2022 Accepting new patients
Agnesian Healthcare, Inc Current Accepting new patients
Central Counties Center for Mental Health & Mental Retardation SRVS Current Accepting new patients
Martin Luther King Jr Community Medical Foundation Current Accepting new patients
Agnesian Healthcare Inc CurrentSince Aug 30, 2024 Accepting new patients
Cedars-Sinai Medical Center CurrentSince Mar 1, 2024 Accepting new patients
SSM Health Care St. Louis CurrentSince Dec 20, 2024 Accepting new patients
The Monroe Clinic, Inc. CurrentSince Apr 25, 2022 Accepting new patients
Bayhealth Medical Center, Inc. Current Accepting new patients
University of Maryland Community Medical Group, Inc. Current Accepting new patients
Good Samaritan Regional Health Center CurrentSince Mar 10, 2025 Accepting new patients
Center for Family Guidance, PC Psychiatry CurrentSince Mar 1, 2020 Accepting new patients
Aspen Valley Hospital District CurrentSince Apr 1, 2023 Accepting new patients
Northeastern Vermont Regional Hospital, Inc Current Accepting new patients
Cedars-Sinai Medical Center CurrentSince Mar 1, 2024 Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Jan 15, 2022 Accepting new patients
Scott & White Clinic Psychiatry CurrentSince Jun 15, 2021 Accepting new patients
University of Maryland Community Medical Group, Inc. Psychiatry CurrentSince Dec 1, 2024 Accepting new patients
Darin Rentz DO PC Psychiatry CurrentSince Jul 1, 2023 Accepting new patients
St. Mary's Hospital, Centralia, Illinois CurrentSince Dec 29, 2024 Accepting new patients
Northeastern Vermont Regional Hospital Inc. CurrentSince Sep 1, 2023 Accepting new patients
Aspen Valley Hospital District CurrentSince Jul 1, 2024 Accepting new patients
Beebe Physician Network Inc. CurrentSince Apr 12, 2025 Accepting new patients
Agnesian Healthcare Inc CurrentSince Aug 30, 2024 Accepting new patients
The Monroe Clinic, Inc. CurrentSince Apr 25, 2022 Accepting new patients
Northeastern Vermont Regional Hospital Inc CurrentSince Sep 1, 2023 Accepting new patients
St. Mary's Hospital, Centralia, Illinois CurrentSince Dec 29, 2024 Accepting new patients
Bayhealth Medical Center, Inc. CurrentSince Jan 15, 2022 Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Jan 15, 2022 Accepting new patients
Scott & White Clinic Psychiatry CurrentSince Jun 15, 2021 Accepting new patients
Gifford Medical Center Inc. CurrentSince Apr 17, 2023 Accepting new patients
Aspen Valley Hospital District CurrentSince Apr 1, 2023 Accepting new patients
Medical Associates of Englewood, PC CurrentSince Apr 1, 2025 Accepting new patients
SSM Cardinal Glennon Children's Hospital CurrentSince Jan 24, 2025 Accepting new patients
The Huntington Medical Foundation Past Accepting new patients

Locations (25 of 51)

600 N Highland Springs Ave
Banning, CA 92220
Phone (833) 443-6287

2215 W Rosecrans Ave
Ste 22
Compton, CA 90222
Phone (424) 529-6755

12021 Wilmington Ave
Ste 1000
Los Angeles, CA 90059
Phone (424) 529-6577

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

65 N Madison Ave
Ste 800
Pasadena, CA 91101
Phone (626) 792-3141

350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500

4650 Lincoln Blvd
Venice, CA 90292
Phone (310) 264-2561

8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291

401 Castle Creek Rd
Aspen, CO 81611
Phone (970) 544-1192

1460 E Valley Rd
Ste 103
Basalt, CO 81621
Phone (970) 279-4111

640 S State St
Dover, DE 19901
Phone (302) 744-4700

424 Savannah Rd
Lewes, DE 19958
Phone (302) 441-1078

32550 Docs Pl
Unit 2
Millville, DE 19967
Phone (302) 539-4302

801 Middleford Rd
Seaford, DE 19973
Phone (302) 628-9178

400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221

7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189

7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155

1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600

5 Good Samaritan Way
Mount Vernon, IL 62864
Phone (557) 203-1601

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

219 S Washington St
Easton, MD 21601

5 Garrett Ave
La Plata, MD 20646
Phone (301) 609-4000

900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010

12355 De Paul Dr
Ste 150
Bridgeton, MO 63044
Phone (314) 344-7153

Interoperability endpoints

  • FHIR API: https://epicproxy.et1254.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: taha.ansarimd.p1@direct.cfg.nextgenshare.com
  • Direct secure messaging: tansari1232219@direct.umm.edu
  • Direct secure messaging: tansari423641@direct-ehr-ssmhc.com

Organizations & group practices 50

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.

View all 50

Hospital & facility affiliations 6

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": "1468368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1538512629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "254-724-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 SW H K DODGEN LOOP BLDG 300",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765021814",
            "telephone_number": "254-724-5437",
            "fax_number": "254-724-7597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Brookdale Plz",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112123139",
            "country_code": "US",
            "telephone_number": "718-240-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8700 Beverly Blvd",
            "address_purpose": "LOCATION",
            "city": "West Hollywood",
            "state": "CA",
            "postal_code": "900481804",
            "country_code": "US",
            "telephone_number": "310-423-3465",
            "fax_number": "310-423-8397",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "424 Savannah Rd",
            "address_purpose": "LOCATION",
            "city": "Lewes",
            "state": "DE",
            "postal_code": "199581462",
            "country_code": "US",
            "telephone_number": "302-645-3499",
            "fax_number": "302-644-4830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANSARI",
        "first_name": "TAHA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-13",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A177431",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "35013",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DE",
            "license": "C1-0024100",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "76821",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA10780900",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "S9451",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NJ",
            "license": "25MA10780900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tansari483841@direct.sw.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1901 SW H K Dodgen Loop Bldg 300",
            "city": "Temple",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765021814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

Verify at the official NPI Registry.