Individual provider Active NPI

Nimisha Rajanish, NP

  • Family Nurse Practitioner
  • Sugar Land, TX
National Provider Identifier
1821759267
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1028917 Issued in TX
Practice address
16605 Southwest Fwy Ste 175
Sugar Land, TX 77479-0003
Phone
(281) 302-5673
NPI assigned
Jan 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 1028917 TX Primary

Addresses

Primary practice location

16605 Southwest Fwy Ste 175
Sugar Land, TX 77479-0003

Mailing address

16605 Southwest Fwy Ste 175
Sugar Land, TX 77479-0003
Phone (281) 302-5673

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220222001023 TX Practitioner - Nurse Practitioner 1153715917 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vanguard Inpatient Physicians PLLCGroup PAC ID 4183907652, 32 clinicians

Practice addresses (Care Compare)

4645 Sweetwater Blvd
Suite 200
Sugar Land, TX 77479-3016
Phone (281) 565-1112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1028917TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vanguard Inpatient Physicians, PLLC Single Specialty CurrentSince Feb 1, 2022 Accepting new patients

Locations

1001 W Baker Rd
Ste 100
Baytown, TX 77521
Phone (281) 427-6525

4560 FM 1960 Rd W
Ste 101
Houston, TX 77069
Phone (281) 444-0000

4645 Sweetwater Blvd
Ste 200
Sugar Land, TX 77479
Phone (281) 565-1112

16605 Southwest Fwy
Ste 175
Sugar Land, TX 77479
Phone (281) 565-1112

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.

NPI Registry JSON

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

{
    "created_epoch": "1641513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1821759267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16605 SOUTHWEST FWY STE 175",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774790003",
            "telephone_number": "281-302-5673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16605 SOUTHWEST FWY STE 175",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774790003",
            "telephone_number": "281-302-5673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJANISH",
        "first_name": "NIMISHA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-07",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1028917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.