KANWAL MIRZA M.D.
NPI 1063874527
Psychiatry & Neurology - Child & Adolescent Psychiatry in Sugar Land, TX

Active since March 24, 2016PECOS Enrolled
17510 W GRAND PKWY S STE 460, SUGAR LAND, TX 77479(281) 766-4792 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2023, May 28, 2022, Sep 15, 2021 and 3 more (6 updates tracked since 2016).

About Kanwal Mirza M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KANWAL MIRZA M.D. (NPI 1063874527) is an individual child & adolescent psychiatry provider in Sugar Land, Texas, licensed in Texas (S3244) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Baytown.

NPPES Registry Identity

NPI1063874527
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameKANWAL MIRZACredential: M.D.
Location Address17510 W GRAND PKWY S STE 460Sugar Land, TX 77479-2173
Mailing Address17510 W Grand Pkwy S Ste 460Sugar Land, TX 77479-2173 · (281) 766-4792
Sole ProprietorYes
Enumeration DateMarch 24, 2016
Last NPPES UpdateMarch 7, 20236 updates tracked since enumeration
NPPES CertifiedMay 28, 2022
NPI 1063874527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License Licensed in TX · S3244
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
17510 W GRAND PKWY S STE 460, Sugar Land, TX 77479

Secondary Practice Location 1

Location 11610 W Baker Rd Ste ABaytown, TX 77521-2279 · Phone (713) 249-6802

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kanwal Mirza M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Nephrology)
17510 W GRAND PKWY S STE 460
SUGAR LAND, TX 77479

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kanwal Mirza's NPI number?

The NPI number for Kanwal Mirza is 1063874527. It was assigned to this individual provider in the NPPES registry on March 24, 2016.

Where is Kanwal Mirza located?

Kanwal Mirza practices at 17510 W Grand Pkwy S Ste 460, Sugar Land, TX 77479. The listed phone number is (281) 766-4792.

What is Kanwal Mirza's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Kanwal Mirza enrolled in Medicare?

Yes. Kanwal Mirza is registered in the Medicare PECOS enrollment system.

What insurance does Kanwal Mirza accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Kanwal Mirza as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kanwal Mirza was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.