Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NISHATH ATHAR ALI M.D.
NPI 1457426256
Obstetrics & Gynecology in Houston, TX

Q: What is Nishath Ali's NPI number?

The NPI number for Nishath Ali is 1457426256. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Q: What is Nishath Ali's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Nishath Ali was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.

Active since November 21, 2006PECOS EnrolledAccepts Medicare Assignment

1504 TAUB LOOP, HOUSTON, TX 77030(713) 798-1750 Get Directions Write a Review

NPPES record last updated: October 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 12, 2026, Jul 11, 2023 (2 updates tracked since 2023).

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About Nishath Athar Ali M.d. NPPES

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

NISHATH ATHAR ALI M.D. (NPI 1457426256) is an individual obstetrics & gynecology provider in Houston, Texas, licensed in Texas (M4696) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Chi St Luke's Health Baylor College Of Medicine Me, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1457426256

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameNISHATH ATHAR ALICredential: M.D.

Location Address1504 TAUB LOOPHouston, TX 77030-1608

Mailing Address11511 Shadow Creek Pkwy, Credentialing ServicesPearland, TX 77584-7298 · (713) 442-0000

Phone(713) 798-1750

Sole ProprietorNo

Medical School CMSDuke University School Of MedicineGraduated 2002

Enumeration DateNovember 21, 2006

Last NPPES UpdateOctober 12, 20262 updates tracked since enumeration

NPPES CertifiedOctober 12, 2026

✔ NPI 1457426256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in TX · M4696

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1504 TAUB LOOP, Houston, TX 77030

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Secondary Practice Locations 2

Location 12040 W Gray St Ste 120&200Houston, TX 77019-3658 · Phone (713) 442-3400

Location 26620 Main St, Suite 1450Houston, TX 77030-2348 · Phone (713) 798-7500 · Fax (713) 798-3487

Other Identifiers 2

Medicaid185210502TX

Medicaid185210501TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nishath Athar Ali M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355447723

PECOS Enrollment IDI20070501000287

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.

Medicare Billing Reassignments

Medicare enrollment records show Nishath Ali reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baylor College Of Medicine

0.1 mi

Family Medicine

1504 TAUB LOOP
Houston, TX 77030

Reassigned Medicare billing, Texas enrollment
2,296 clinicians in this Medicare group

NPI 1053352914 (713) 873-2000

Texas Children's Physician Group

0.4 mi

Pediatrics

6621 FANNIN ST
Houston, TX 77030

Reassigned Medicare billing, Texas enrollment
Medicare enrollment name: Texas Childrens Physician Group
2,498 clinicians in this Medicare group

NPI 1861675506 (832) 824-1000

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

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

31 services31 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

22 services20 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

20 services19 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

12 services12 patients

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091

A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Chi St Luke's Health Baylor College Of Medicine Me

Acute Care Hospitals · Houston, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450193

Location6720 Bertner Ave, Ste Mc1-266Houston, TX 77030 · Harris County

Emergency services

Houston Methodist Hospital

Acute Care Hospitals · Houston, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450358

Location6565 FanninHouston, TX 77030 · Harris County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$134.06 typical visit price

range $58.24 – $176.98

Typical copayment $33.51 (range $14.56 – $44.24)

Most-billed visit code 99204

Established Patient

$72.62 typical visit price

range $18.60 – $143.93

Typical copayment $18.15 (range $4.65 – $35.98)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

ZAVEN SARGSYAN MD

Internal Medicine

1504 TAUB LOOP
HOUSTON, TX 77030

Harris County (713) 873-8890

KAYE-ANN ANTONETTE CHRISTIE PA-C

Physician Assistant

1504 TAUB LOOP
HOUSTON, TX 77030

Harris County (713) 873-2000

EMILY MARIE WEBSTER PA-C

Physician Assistant

1504 TAUB LOOP
HOUSTON, TX 77030

Harris County (713) 873-8890

DR. MIGUEL A NIETO D.O.

Emergency Medicine

1504 TAUB LOOP, EMERGENCY CENTER
HOUSTON, TX 77030

Harris County (713) 873-7045

DR. LOUIS BRUNO FORNAGE MD

Emergency Medicine

1504 TAUB LOOP
HOUSTON, TX 77030

Harris County (713) 873-3060

DR. MICHELE TROUTMAN GIFFORD MD

Obstetrics & Gynecology

1504 TAUB LOOP
HOUSTON, TX 77030

Harris County (713) 798-1750

DR. KYLE SUEN M.D.

Emergency Medicine

1504 TAUB LOOP
HOUSTON, TX 77030

Harris County (713) 873-8890

DR. MIYSHA SHAW GIRARDEAU MD, MS

Internal Medicine

1504 TAUB LOOP
HOUSTON, TX 77030

Harris County (771) 387-3889

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 Nishath Ali's NPI number?

The NPI number for Nishath Ali is 1457426256. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Where is Nishath Ali located?

Nishath Ali practices at 1504 Taub Loop, Houston, TX 77030. The listed phone number is (713) 798-1750.

What is Nishath Ali's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Nishath Ali enrolled in Medicare?

Yes. Nishath Ali is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Nishath Ali's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nishath Ali reassigns Medicare benefits to 2 organizations: Baylor College Of Medicine (Houston, TX) and Texas Children's Physician Group (Houston, TX). Each 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 Nishath Ali's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nishath Ali 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 1 other insurer list Nishath Ali 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.

Is Nishath Ali affiliated with any hospitals?

According to CMS data, Nishath Ali is affiliated with Chi St Luke's Health Baylor College Of Medicine Me and Houston Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Nishath Ali was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.