NPIMap

Individual provider Active NPI

Anisha Vakil Waxali, MD

  • Internal Medicine Physician
  • Sugar Land, TX
National Provider Identifier
1790773042
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K2133 Issued in TX
Practice address
4780 Sweetwater Blvd Ste 100
Sugar Land, TX 77479-3163
Phone
(281) 491-0094
Fax
(281) 491-0111
NPI assigned
Oct 11, 2005
Last updated
Aug 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K2133 TX Primary

Addresses

Primary practice location

4780 Sweetwater Blvd Ste 100
Sugar Land, TX 77479-3163

Mailing address

4780 Sweetwater Blvd
Suite 100
Sugar Land, TX 77479-3162
Phone (281) 491-0094

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040323000258 TX Practitioner - Internal Medicine 4284525981 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical School at Houston, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4780 Sweetwater Blvd
Suite 100
Sugar Land, TX 77479-3163
Phone (281) 491-0094

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anisha Waxali MD PA Internal Medicine CurrentSince Aug 18, 2003 Accepting new patients
Cardiology Center of Houston PA CurrentSince Jan 6, 2022 Accepting new patients
Heidi Schultz, M.D., P.a. CurrentSince Sep 3, 2019 Accepting new patients

Locations

600 Jefferson St
Ste 404
Lafayette, LA 70501

7629 Tiki Dr
Fulshear, TX 77441
Phone (281) 346-0018

4780 Sweetwater Blvd
Ste 100
Sugar Land, TX 77479
Phone (281) 491-0094

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CEDECA

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Elysian HospiceStafford, TX, CCN 671786 Hospice W-2 Managing Employee Apr 28, 2021
Amor Hospice Care, Inc.Houston, TX, CCN 971700 Hospice Contracted Managing Employee Sep 4, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1790773042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4780 SWEETWATER BLVD",
            "address_2": "SUITE 100",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793162",
            "telephone_number": "281-491-0094",
            "fax_number": "281-491-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4780 SWEETWATER BLVD STE 100",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793163",
            "telephone_number": "281-491-0094",
            "fax_number": "281-491-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAXALI",
        "first_name": "ANISHA",
        "middle_name": "VAKIL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-11",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K2133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.