Individual provider Active NPI

Maria Nadeem Baig, PA

  • Physician Assistant
  • College Station, TX
National Provider Identifier
1801413521
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA202532 Issued in TX
Practice address
1551 Greens Prairie Rd W Ste 101a
College Station, TX 77845-8666
Phone
(979) 205-5460
Fax
(979) 256-0764
NPI assigned
Jun 29, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X PA202532 TX Primary

Addresses

Primary practice location

1551 Greens Prairie Rd W Ste 101a
College Station, TX 77845-8666

Mailing address

1551 Greens Prairie Rd W Ste 101a
College Station, TX 77845-8666
Phone (979) 205-5460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240501001876 NY Practitioner - Physician Assistant 5395185896 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
030509NYMDGeneral Practice Dentistry
PA202532TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ruhwell Medical Single Specialty Current Accepting new patients
Summit Health and Wellness Center LLC PastSince Jul 1, 2020 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790294400000",
    "number": "1801413521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 GREENS PRAIRIE RD W STE 101A",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778458666",
            "telephone_number": "979-205-5460",
            "fax_number": "979-256-0764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 GREENS PRAIRIE RD W STE 101A",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778458666",
            "telephone_number": "979-205-5460",
            "fax_number": "979-256-0764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIG",
        "first_name": "MARIA",
        "middle_name": "NADEEM",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-29",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA202532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

Verify at the official NPI Registry.