Individual provider Active NPI

Nida Nisar, DPM

  • Podiatrist
  • Houston, TX
National Provider Identifier
1982196416
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
3102 Issued in TX
Practice address
9055 Katy Fwy Ste 460
Houston, TX 77024-1697
Phone
(713) 461-1010
Fax
(713) 973-7200
NPI assigned
May 31, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 3102 TX
Podiatrist 213E00000X 3102 TX Primary

Addresses

Primary practice location

9055 Katy Fwy Ste 460
Houston, TX 77024-1697

Mailing address

9055 Katy Fwy Ste 460
Houston, TX 77024-1697
Phone (713) 461-1010

Other practice location 1

4801 Woodway Dr Ste 105E
Houston, TX 77056-1634
Phone (713) 626-8857

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210825002624 TX Practitioner - Podiatry 3375943459 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moore Foot and Ankle Specialists PAGroup PAC ID 4183629132, 10 clinicians

Practice addresses (Care Compare)

9055 Katy Fwy
Suite 460
Houston, TX 77024-1697
Phone (713) 461-1010

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue64
Removal or shaving of skin growth19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3102TXMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Footstar PLLC CurrentSince Mar 21, 2025 Accepting new patients
Moore Foot and Ankle Specialists PA Podiatrist CurrentSince Jan 26, 2025 Accepting new patients
Mfa Health Houston PLLC Podiatrist CurrentSince Jul 1, 2025 Accepting new patients
South Texas Foot Specialist, PA Foot & Ankle Surgery CurrentSince Jul 1, 2022 Accepting new patients
Pulse Healthcare System LLC PastSince Oct 20, 2025 Accepting new patients

Locations

12300 Dundee Ct
Ste 213
Cypress, TX 77429
Phone (281) 256-4414

119 E Edgewood Dr
Friendswood, TX 77546
Phone (218) 996-9546

4801 Woodway Dr
Ste 105E
Houston, TX 77056
Phone (713) 626-8857

4615 Southwest Fwy
Ste 1000
Houston, TX 77027
Phone (281) 407-6943

1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161

9055 Katy Fwy
Ste 460
Houston, TX 77024
Phone (713) 461-1010

16211 Clay Rd
Ste 110
Houston, TX 77084
Phone (630) 656-0680

121 Highway 332 W
Ste G
Lake Jackson, TX 77566
Phone (979) 297-8500

11161 Shadow Creek Pkwy
Ste 220
Pearland, TX 77584
Phone (281) 657-1490

3411 Broadway St
Pearland, TX 77581
Phone (281) 485-0505

2616 FM 2920 Rd
Ste N
Spring, TX 77388
Phone (281) 444-6300

600 N Kobayashi
Ste 110
Webster, TX 77598
Phone (281) 338-1701

Interoperability endpoints

  • Direct secure messaging: nida.nisar.1@19643.direct.athenahealth.com

Organizations & group practices 5

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": "1527724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1982196416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9055 KATY FWY STE 460",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241697",
            "telephone_number": "713-461-1010",
            "fax_number": "713-973-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9055 KATY FWY STE 460",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241697",
            "telephone_number": "713-461-1010",
            "fax_number": "713-973-7200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4801 Woodway Dr Ste 105E",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770561634",
            "country_code": "US",
            "telephone_number": "713-626-8857",
            "fax_number": "713-583-7624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NISAR",
        "first_name": "NIDA",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-31",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "3102",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "3102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.