NIDA NISAR (DPM) – Podiatrist, NPI 1982196416

NIDA NISAR (DPM) is a healthcare provider. based in Kingwood, Texas. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 3102 (TX). The NPI Number for NIDA NISAR (DPM) is 1982196416

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
NIDA NISAR (DPM)
NPI
1982196416
Phone
(630) 656-0680
Address
331 FOREST CENTER DR APT 22003
Enumeration Date
31 May 2018
Last Update Date
3 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7134611010
Graduation Year
2018 (8 years ago)
PAC ID
3375943459
Group Practice PAC ID
4183629132
Professional Enrollment ID
I20210825002624
Address ID
TX770241697HO9055XFWYX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

1,097 PODIATRY in TX

Provider Addresses for NIDA NISAR (DPM)

  • 331 FOREST CENTER DR APT 22003

    KINGWOOD, TX 773395291

    Phone: (630) 656-0680

    Type: Location

  • 417, Richmond Avenue, Houston, Harris County, Texas, 77002, United States

    HOUSTON, TX 770822439

    Phone: (281) 597-1630

    Fax: (281) 597-9600

    Type: Mailing

  • 9055 KATY FWY STE 460

    HOUSTON, TX 770241697

    Phone: (713) 461-1010

    Fax: (713) 973-7200

    Type: Mailing

  • 4801 Woodway Dr Ste 105E

    Houston, TX 770561634

    Phone: (713) 626-8857

    Fax: (713) 583-7624

    Type: Location

  • PO BOX 57099

    WEBSTER, TX 775987099

    Phone: (979) 297-8500

    Fax: (979) 297-3027

    Type: Mailing

  • 121 HIGHWAY 332 W STE G

    LAKE JACKSON, TX 775664099

    Phone: (979) 297-8500

    Fax: (979) 297-3027

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $4,509.

Total Amount is formed as General ($4,509) + Research ($0) + Ownership ($0) = $4,509.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Stryker Corporation ($4,264).

Total Amount

$4,509

General + Research + Ownership

Payments

26

Total payment records

General Amount

$4,509

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-08-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210825002624IPodiatryTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5430$0
99204New patient office or other outpatient visit, 45-59 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 77339)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4183629132View full group profile
NameSpecialtyState
P O D I A T R YTX
P O D I A T R YTX
P O D I A T R YTX
P O D I A T R YTX
P O D I A T R YTX
P O D I A T R YTX
-TX
P O D I A T R YTX
P O D I A T R YTX

Reviews

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Frequently asked questions

Can I use this page to confirm NIDA NISAR (DPM)'s NPI?
Yes. NIDA NISAR (DPM) is listed with NPI 1982196416 in the public NPI dataset.
Can I rely on NIDA NISAR (DPM) being an active provider?
As of the registry snapshot, NIDA NISAR (DPM) is marked active.
What taxonomy line describes NIDA NISAR (DPM)?
For research purposes, treat NIDA NISAR (DPM) as Podiatrist in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for NIDA NISAR (DPM)?
NIDA NISAR (DPM)'s geographic hint is Kingwood, Texas in our summary view.
Is the information about NIDA NISAR (DPM) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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