Individual provider Active NPI

Aisha Mirza, MD

  • Pediatrics Physician
  • Pasadena, TX
National Provider Identifier
1689742637
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
S9036 Issued in TX
Practice address
3925 Fairmont Pkwy
Pasadena, TX 77504-3013
Phone
(713) 873-6306
NPI assigned
Nov 30, 2006
Last updated
Sep 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X S9036 TX Primary
Pediatrics Physician 208000000X 036-105960 IL

Addresses

Primary practice location

3925 Fairmont Pkwy
Pasadena, TX 77504-3013

Mailing address

6701 Fannin St Ste 1540
Houston, TX 77030-2613
Phone (832) 822-3440

Other practice location 1

1504 Taub Loop
Houston, TX 77030-1608
Phone (173) 873-8890

Other practice location 2

5400 Griggs Rd Ste 101
Houston, TX 77021-3757
Phone (346) 227-7275 ext. 82964

Other identifiers 1

IdentifierTypeStateIssuer
036105960 4MedicaidIL

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250731002900 TX Practitioner - Pediatric Medicine 6002867413 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-105960ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince Jul 15, 2025 Accepting new patients
Baylor College of Medicine CurrentSince Jul 15, 2025 Accepting new patients
Texas Children's Physician Group Pediatrics CurrentSince Sep 22, 2025 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Baylor College of Medicine Past Accepting new patients

Locations

1 Baylor Plz
#2
Houston, TX 77030

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

5400 Griggs Rd
Ste 101
Houston, TX 77021
Phone (346) 227-7275

6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764

6701 Fannin St
Ste 1540
Houston, TX 77030
Phone (832) 822-3441

3925 Fairmont Pkwy
Pasadena, TX 77504
Phone (713) 500-5160

6651 Main St
Va Hospital, TX 77030
Phone (832) 826-3000

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1689742637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 FANNIN ST STE 1540",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302613",
            "telephone_number": "832-822-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 FAIRMONT PKWY",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775043013",
            "telephone_number": "713-873-6306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1504 Taub Loop",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770301608",
            "country_code": "US",
            "telephone_number": "173-873-8890",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5400 Griggs Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770213757",
            "country_code": "US",
            "telephone_number": "346-227-7275 x82964",
            "fax_number": "832-825-9693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRZA",
        "first_name": "AISHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "S9036",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036-105960",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036105960 4",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

Verify at the official NPI Registry.