Active NPI
Vivek Menon, M.D.
- Clinical Cardiac Electrophysiology Physician
- Lufkin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- U5166
- Practice address
- 310 Gaslight Blvd
Lufkin, TX 75904-3133 - Phone
- (936) 632-8787
- NPI assigned
- Mar 28, 2012
- Last updated
- May 21, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 56984587 | GA | |
| Cardiovascular Disease Physician | 207RC0000X | U5166 | TX | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | U5166 | TX | Primary |
Addresses
Primary practice location
310 Gaslight Blvd
Lufkin, TX 75904-3133
Mailing address
9500 Euclid Ave
Mail Code: M75
Cleveland, OH 44195-0001
Phone (216) 636-7563
Other practice location 1
9500 Euclid Ave
Mail code: M75
Cleveland, OH 44195-0001
Phone (216) 636-7563
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17350 St Lukes Way
Suite 400
The Woodlands, TX 77384-4167
Phone (281) 444-3278
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 43 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56984587 | GA | MD | Internal Medicine Physician |
| U5166 | TX | MD | Clinical Cardiac Electrophysiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magnolia Regional Health Center | Internal Medicine | Current | Accepting new patients |
| Magnolia Regional Health Center | Current | Accepting new patients | |
| North Mississippi Medical Center | Current | Accepting new patients | |
| Magnolia Hospitalist Group | Current | Accepting new patients | |
| Tishomingo Health Services, Inc. | Current | Accepting new patients | |
| Tishomingo Health Services, Inc. | Current | Accepting new patients | |
| Magnolia Regional Health Center | Current | Accepting new patients | |
| Magnolia Regional Health Center | Current | Accepting new patients | |
| Baylor St. Luke's Medical Group | Internal Medicine | Current | Accepting new patients |
| Magnolia Regional Health Center | Current | Accepting new patients | |
| Tishomingo Health Services, Inc. | Past | Accepting new patients |
Locations
611 Alcorn Dr
Corinth, MS 38834
Phone (601) 286-6961
951 E Loop 304
Crockett, TX 75835
Phone (936) 545-9030
1 Baylor Plz
#2
Houston, TX 77030
20207 Chasewood Park Dr
Ste 300
Houston, TX 77070
Phone (832) 534-7800
6624 Fannin St
Ste 1240
Houston, TX 77030
Phone (832) 355-5575
208 Craig St
Jasper, TX 75951
Phone (409) 383-6044
1717 Highway 59 Loop N
Ste B
Livingston, TX 77352
Phone (936) 327-7733
1201 W Frank Ave
Lufkin, TX 75904
Phone (936) 634-8111
310 Gaslight Blvd
Lufkin, TX 75904
1300 N Mound St
Nacogdoches, TX 75961
Phone (409) 560-2990
17198 St Lukes Way
Ste 440
The Woodlands, TX 77384
Phone (936) 266-2500
17350 St Lukes Way
Ste 400
The Woodlands, TX 77384
Phone (832) 249-3721
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JIHBCA
- menon.vivek.p1@direct.hiet.nextgenshare.com
- vivekmenon@magnolia.medalliesdirect.net
- vivekmenon@nmhs.medalliesdirect.net
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- The Woodlands, TX
- NPI 1740485879
-
- Hospitalist Physician
- Corinth, MS
- NPI 1457547838
-
- General Acute Care Hospital
- Corinth, MS
- NPI 1699756445
-
dba Tishomingo Co Hospital
- General Acute Care Hospital
- Iuka, MS
- NPI 1548376700
-
dba Magnolia Women's Center
- Internal Medicine Physician
- Corinth, MS
- NPI 1093546566
-
dba MRHC - CRNA Svcs
- Certified Registered Nurse Anesthetist
- Corinth, MS
- NPI 1245410398
-
dba MRHC - Pulmonology Pro Fee
- Pulmonary Disease Physician
- Corinth, MS
- NPI 1689906117
-
dba MRHC - Emergency Medicine Pro Fee
- Emergency Medicine Physician
- Corinth, MS
- NPI 1922266857
-
- General Acute Care Hospital
- Tupelo, MS
- NPI 1376969683
-
dba Pulmonary Consultants Iuka
- Pulmonary Disease Physician
- Iuka, MS
- NPI 1659254639
-
dba Belmont Family Medical Clinic
- Clinic/Center
- Belmont, MS
- NPI 1295105922
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CHI St. Lukes Health Memorial Lufkin
- Rural Acute Care Hospital
- Lufkin, TX
- NPI 1396746129
-
dba NCHD Memorial Hospital
- Rural Acute Care Hospital
- Nacogdoches, TX
- NPI 1801831748
-
dba Woodland Heights Medical Center
- General Acute Care Hospital
- Lufkin, TX
- NPI 1487607792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747785600000",
"number": "1073889622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9500 EUCLID AVE",
"address_2": "MAIL CODE: M75",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441950001",
"telephone_number": "216-636-7563",
"fax_number": "216-636-5390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 GASLIGHT BLVD",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759043133",
"telephone_number": "936-632-8787"
}
],
"practiceLocations": [
{
"address_1": "9500 Euclid Ave",
"address_2": "Mail code: M75",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441950001",
"country_code": "US",
"telephone_number": "216-636-7563",
"fax_number": "216-636-5390",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENON",
"first_name": "VIVEK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-03-28",
"last_updated": "2025-05-21",
"certification_date": "2025-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "56984587",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TX",
"license": "U5166",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "TX",
"license": "U5166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lufkin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.