Individual provider Active NPI

Ayesha Mian, MD

  • Internal Medicine Physician
  • Katy, TX
National Provider Identifier
1710447479
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
U1725 Issued in TX
Practice address
21800 Katy Freeway
Ste 240
Katy, TX 77449-7780
Phone
(346) 387-7001
Fax
(346) 387-7002
NPI assigned
Mar 20, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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 U1725 TX
Internal Medicine Physician 207R00000X U1725 TX Primary

Addresses

Primary practice location

21800 Katy Freeway
Ste 240
Katy, TX 77449-7780

Mailing address

21800 Katy Freeway
Ste 240
Katy, TX 77449-7780
Phone (346) 387-7001

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
I20231218002506 TX Practitioner - Internal MedicinePractitioner - Pediatric Medicine 2365891223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Medicine Specialists of Texas, PLLCGroup PAC ID 1557625662, 4 clinicians

Practice addresses (Care Compare)

21800 Katy Fwy
Suite 240
Katy, TX 77449-7792
Phone (346) 387-7001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U1725TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medicine Specialists of Texas, PLLC Internal Medicine CurrentSince Nov 15, 2023 Accepting new patients

Locations

21800 Katy Fwy
Ste 240
Katy, TX 77449
Phone (346) 387-7001

Organizations & group practices 1

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 2

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": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1710447479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21800 KATY FREEWAY",
            "address_2": "STE 240",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774497780",
            "telephone_number": "346-387-7001",
            "fax_number": "346-387-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21800 KATY FREEWAY",
            "address_2": "STE 240",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774497780",
            "telephone_number": "346-387-7001",
            "fax_number": "346-387-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIAN",
        "first_name": "AYESHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-20",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "U1725",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "U1725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.