ANISHA WAXALI MD PA
NPI 1124137591
Internal Medicine in Sugar Land, TX

Active since August 30, 2006CLIA 45D1042957 · Waiver
4780 SWEETWATER BLVD, SUITE 100, SUGAR LAND, TX 77479(281) 491-0094(281) 491-0111 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 23, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Anisha Waxali Md Pa NPPES

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

ANISHA WAXALI MD PA (NPI 1124137591) is a healthcare organization registered as an internal medicine in Sugar Land, Texas and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through July 12, 2027 and lists Anisha V Waxali, Physician, as its authorized official.

NPPES Registry Identity

NPI1124137591
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameANISHA WAXALI MD PA
Location Address4780 SWEETWATER BLVD, SUITE 100Sugar Land, TX 77479-3162
Mailing Address4780 Sweetwater Blvd, Suite 100Sugar Land, TX 77479-3162 · (281) 491-0094 · Fax (281) 491-0111
Fax(281) 491-0111
Organization SubpartNo
Authorized OfficialAnisha V WaxaliPhysician · (281) 491-0094
Enumeration DateAugust 30, 2006
Last NPPES UpdateAugust 23, 20222 updates tracked since enumeration
NPPES CertifiedAugust 23, 2022
✔ NPI 1124137591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4780 SWEETWATER BLVD, Sugar Land, TX 77479

Other Identifiers 1

Medicaid37053802TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anisha Waxali Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20040323000175Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Anisha Waxali MD PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1790773042
4780 SWEETWATER BLVD STE 100
Sugar Land, TX 77479
(281) 491-0094
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D1042957

Anisha Waxali MD PA · Sugar Land, TX
Active · expires Jul 12, 2027
CLIA Number45D1042957
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateJuly 13, 2025
Certificate Expiration DateJuly 12, 2027
Laboratory DirectorAnisha V. Waxali
Laboratory Phone(281) 491-0094
Laboratory LocationAnisha Waxali MD PA4780 Sweetwater Blvd Suite 100, Sugar Land, TX 77479
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Anisha Waxali MD PA's NPI number?

The NPI number for Anisha Waxali MD PA is 1124137591. It was assigned to this organization in the NPPES registry on August 30, 2006.

Where is Anisha Waxali MD PA located?

Anisha Waxali MD PA is located at 4780 Sweetwater Blvd Suite 100, Sugar Land, TX 77479. The listed phone number is (281) 491-0094.

What is Anisha Waxali MD PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Anisha Waxali MD PA enrolled in Medicare?

Yes. Anisha Waxali MD PA is registered in the Medicare PECOS enrollment system.

When is Anisha Waxali MD PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Anisha Waxali MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Anisha Waxali MD PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Anisha Waxali MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1042957) is associated with this NPI, valid through July 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Anisha Waxali MD PA was last updated on August 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.