Renu Mohandas, M.D
Individual provider Active NPI Internal Medicine Physician · Lockhart, TX
NPI 1205949112 · NPPES record last updated Dec 11, 2012
Key facts
- NPI
- 1205949112
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- K9134 (TX)
- Practice address
- 209 S Church St
Suite B
Lockhart, TX 78644-2713 - Phone
- (512) 376-2999
- Fax
- (512) 376-5562
- NPI assigned
- Aug 16, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 9
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ascension Seton
Practice addresses (Care Compare)
130 Hays St
Luling, TX 78648-3207
Phone (512) 875-7000
209 S Church St
Suite Aandb
Lockhart, TX 78644-2713
Phone (512) 376-2999
300 S Colorado St
Lockhart, TX 78644-2700
Phone (512) 738-0625
300 S Commerce St
Suite B
Lockhart, TX 78644-2887
Phone (512) 398-2331
Hospital & facility affiliations
- Enhabit Home Health
- Pam Health at Home
- Ascension at Home
- Ascension Seton Edgar B Davis
- Christus Santa Rosa Hospital-San Marcos
- Ascension Seton Hays
- Post Acute Medical at Luling LLC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Ascension Seton Luling Health Center |
Rural health clinic | Operational/Managerial Control | Dec 20, 2016 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050412000274 | TX | Practitioner - Internal Medicine | 3971540972 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seton Family of Doctors | Internal Medicine | Current |
Accepting new patients |
| Seton Family of Doctors | Current |
Accepting new patients | |
| Seton Family of Doctors | Internal Medicine | Current | Accepting new patients |
| Ascension Seton | Internal Medicine | Current |
Accepting new patients |
| Ascension Seton | Current |
Accepting new patients | |
| Seton Family of Hospitals | Past | Accepting new patients |
Locations
3501 Mills Ave
Austin, TX 78731
Phone (512) 324-1017
1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300
6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000
300 S Colorado St
Ste D
Lockhart, TX 78644
Phone (512) 376-2999
209 S Church St
Ste B
Lockhart, TX 78644
Phone (512) 376-2999
130 Hays St
Ste Bd
Luling, TX 78648
Phone (830) 875-7000
130 Hays St
Luling, TX 78648
Phone (830) 875-7000
Interoperability endpoints
- renu.mohandas.2@8363.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | K9134 | TX | Yes |
Addresses
Primary practice location
209 S Church St
Suite B
Lockhart, TX 78644-2713
Mailing address
209 S Church St
Suite B
Lockhart, TX 78644-2713
Phone (512) 376-2999
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8CM958 | Other | TX | BCBS |
| 029897803 | Medicaid | TX | |
| 029897804 | Medicaid | TX |
Other providers in Lockhart, TX
- Erika Henry Melbardis
- Meramec Dialysis, LLC
- Robert M Mingea III
- Steven T Minor
- Arjun Mohandas
- Brenda Kay Monreal
- Randall Moon
- Jeremy R Morgan
- Olivia Mowery-Frantz
- Natalie Munoz
All providers in Lockhart, TX · Internal Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.