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RUKSHAN AZHAR MDPA
NPI 1154623072
Psychiatry & Neurology - Child & Adolescent Psychiatry in Baytown, TX

Active since November 29, 2010
855 ROLLINGBROOK DR STE 105, BAYTOWN, TX 77521(713) 885-5070 Get Directions Write a Review

NPPES record last updated: August 3, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Rukshan Azhar Mdpa NPPES

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

RUKSHAN AZHAR MDPA (NPI 1154623072) is a healthcare organization registered as a child & adolescent psychiatry in Baytown, Texas and active in the NPI registry since November 2010. The organization lists Rukshan Azhar, Owner, as its authorized official.

NPPES Registry Identity

NPI1154623072
Entity TypeOrganization
Primary Taxonomy2084P0804X
Legal Business NameRUKSHAN AZHAR MDPA
Location Address855 ROLLINGBROOK DR STE 105Baytown, TX 77521-4073
Mailing Address2802 Garth Rd Ste 105Baytown, TX 77521-3924 · (713) 885-5070
Phone(713) 885-5070
Organization SubpartNo
Authorized OfficialRukshan AzharOwner · (281) 428-7997
Enumeration DateNovember 29, 2010
Last NPPES UpdateAugust 3, 2020
NPPES CertifiedAugust 3, 2020
✔ NPI 1154623072 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 · J7894
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.
855 ROLLINGBROOK DR STE 105, Baytown, TX 77521
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Other Identifiers 1

Medicaid113400902TX

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)

Rukshan Azhar Mdpa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

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 IDO20110103000909Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
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 Rukshan Azhar Mdpa, which bills Medicare for the services this clinician delivers.

Clinician (1)

Rukshan Azhar, M.D
Psychiatry
NPI 1225127392
2802 GARTH RD SUITE 105
Baytown, TX 77521
(281) 428-7997
✔ PECOS✔ Accepts Medicare0.6 mi

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

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 Rukshan Azhar Mdpa's NPI number?

The NPI number for Rukshan Azhar Mdpa is 1154623072. It was assigned to this organization in the NPPES registry on November 29, 2010.

Where is Rukshan Azhar Mdpa located?

Rukshan Azhar Mdpa is located at 855 Rollingbrook Dr Ste 105, Baytown, TX 77521. The listed phone number is (713) 885-5070.

What is Rukshan Azhar Mdpa's specialty?

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

Is Rukshan Azhar Mdpa enrolled in Medicare?

Yes. Rukshan Azhar Mdpa is registered in the Medicare PECOS enrollment system.

When is Rukshan Azhar Mdpa'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 November 30, 2026. 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 Rukshan Azhar Mdpa?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Rukshan Azhar Mdpa. 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.

When was this NPI record last updated?

The NPPES record for Rukshan Azhar Mdpa was last updated on August 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.