Active NPI
Anosha Anwar, MD
- Nephrology Physician
- Nacogdoches, TX
National Provider Identifier
1730797390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- W2940
- Practice address
- 623 Russell Blvd
Nacogdoches, TX 75965-1247 - Phone
- (936) 234-8870
- Fax
- (936) 280-5963
- NPI assigned
- Jul 20, 2020
- Last updated
- Sep 5, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | W2940 | TX | Primary |
Addresses
Primary practice location
623 Russell Blvd
Nacogdoches, TX 75965-1247
Mailing address
623 Russell Blvd
Nacogdoches, TX 75965-1247
Phone (936) 234-8870
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Texas Tech University Health Science Center School of Medicine, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
14201 Dallas Pkwy
Dallas, TX 75254-2916
PO Box
Belfast, ME 04915
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| W2940 | TX | MD | Nephrology Physician |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Surgical Oncology Associates of South Texas
- Family Medicine Physician
- San Antonio, TX
- NPI 1598958431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788566400000",
"number": "1730797390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "623 RUSSELL BLVD",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759651247",
"telephone_number": "936-234-8870",
"fax_number": "936-280-5963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "623 RUSSELL BLVD",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759651247",
"telephone_number": "936-234-8870",
"fax_number": "936-280-5963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANWAR",
"first_name": "ANOSHA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-20",
"last_updated": "2026-09-05",
"certification_date": "2026-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "TX",
"license": "W2940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nacogdoches, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.