Individual provider Active NPI

Mythili T Venkataraman, MD

  • Pulmonary Disease Physician
  • Plano, TX
National Provider Identifier
1093717860
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
0101231606 Issued in VA
Practice address
4716 Alliance Blvd
Suite 700
Plano, TX 75093
Phone
(469) 800-6000
Fax
(469) 800-6030
NPI assigned
Aug 11, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 0101231606 VA Primary

Addresses

Primary practice location

4716 Alliance Blvd
Suite 700
Plano, TX 75093

Mailing address

4716 Alliance Blvd
Suite 700
Plano, TX 75093
Phone (469) 800-6000

Other identifiers 1

IdentifierTypeStateIssuer
5861683MedicaidVA

Other names 1

  • Mythili T Venkataramani Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160404001600 TX Practitioner - Pulmonary Disease 5991742280 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

1901 N Macarthur Blvd
Irving, TX 75061-2220
Phone (972) 579-8485

4001 Worth St
Dallas, TX 75246-1608

4700 Alliance Blvd
Plano, TX 75093-5323

4708 Alliance Blvd
Suite 550
Plano, TX 75093-5363
Phone (469) 800-6140

5252 W University Dr
McKinney, TX 75071-7822
Phone (469) 764-6950

821 N Coleman St
Suite 100
Prosper, TX 75078-2339
Phone (469) 800-5200

Hospital & facility affiliations

  • Baylor Scott & White Medical Center Plano Hospital, Plano, TX, CCN 450890
  • Baylor Scott & White the Heart Hospital Plano Hospital, Plano, TX, CCN 670025
  • Baylor Scott and White Medical Center McKinney Hospital, MC Kinney, TX, CCN 670082
  • Baylor Scott and White Medical Center Frisco at PG Hospital, Frisco, TX, CCN 670346
  • The Heart Hospital Baylor Denton Hospital, Denton, TX, CCN 450893

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Portsmouth Pulmonary Associates, LTD Pulmonary Disease Current Accepting new patients
Healthtexas Provider Network Current Accepting new patients
Dermatology Associates of Denison PLLC CurrentSince Oct 1, 2018 Accepting new patients
Healthtexas Provider Network CurrentSince Mar 21, 2016 Accepting new patients
Dallas Pulmonary & Critical Care PA Pulmonary Disease CurrentSince Apr 7, 2018 Accepting new patients
Premier Pulmonary Critical Care and Sleep Medicine, PA Pulmonary Disease CurrentSince Oct 1, 2018 Accepting new patients
Healthtexas Provider Network CurrentSince Mar 21, 2016 Accepting new patients
Healthtexas Provider Network Past Accepting new patients

Locations

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

221 W Colorado Blvd
Ste 525
Dallas, TX 75208
Phone (214) 956-4525

5012 US Highway 75
Ste 290
Denison, TX 75020
Phone (773) 663-7744

5012 US Highway 75
Ste 200
Denison, TX 75020
Phone (903) 463-2223

5605 N MacArthur Blvd
Ste 740
Irving, TX 75038
Phone 2149605681 ext. 75

5236 W University Dr
Ste 2000
McKinney, TX 75071
Phone (469) 800-5036

3094 Laura Ln
Ste 100
McKinney, TX 75070
Phone (903) 465-5012

4716 Alliance Blvd
Ste 700
Plano, TX 75093
Phone (469) 800-6069

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

4053 Taylor Rd
Ste N
Chesapeake, VA 23321
Phone (757) 484-5900

Interoperability endpoints

  • Direct secure messaging: mvenkataraman226034@direct.sw.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/GCFCCA

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1093717860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4716 ALLIANCE BLVD",
            "address_2": "SUITE 700",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75093",
            "telephone_number": "469-800-6000",
            "fax_number": "469-800-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4716 ALLIANCE BLVD",
            "address_2": "SUITE 700",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75093",
            "telephone_number": "469-800-6000",
            "fax_number": "469-800-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENKATARAMAN",
        "first_name": "MYTHILI",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-11",
        "last_updated": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "VA",
            "license": "0101231606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5861683",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MYTHILI",
            "last_name": "VENKATARAMANI",
            "middle_name": "T",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.