NPIMap

Individual provider Active NPI

Renu Mohandas, M.D

  • Internal Medicine Physician
  • Lockhart, TX
National Provider Identifier
1205949112
Registry record updated Dec 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K9134 Issued in 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
Last updated
Dec 11, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K9134 TX Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050412000274 TX Practitioner - Internal Medicine 3971540972 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascension SetonGroup PAC ID 5193634293, 54 clinicians

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Seton Internal Medicine CurrentSince Oct 14, 2017 Accepting new patients
Seton Family of Doctors CurrentSince Feb 1, 2014 Accepting new patients
Seton Family of Doctors Internal Medicine Current Accepting new patients
Ascension Seton CurrentSince Oct 14, 2017 Accepting new patients
Seton Family of Doctors Internal Medicine CurrentSince Feb 1, 2014 Accepting new patients

Locations

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

3501 Mills Ave
Austin, TX 78731
Phone (512) 324-1017

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

209 S Church St
Ste B
Lockhart, TX 78644
Phone (512) 376-2999

300 S Colorado St
Ste D
Lockhart, TX 78644
Phone (512) 376-2999

130 Hays St
Luling, TX 78648
Phone (830) 875-7000

130 Hays St
Ste Bd
Luling, TX 78648
Phone (830) 875-7000

Interoperability endpoints

  • Direct secure messaging: renu.mohandas.2@8363.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ascension Seton Luling Health CenterLuling, TX, CCN 673449 Rural health clinic Operational/Managerial Control Dec 20, 2016

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Ascension Seton

    dba Ascension Seton Luling Family Health Center

    • Rural Health Clinic/Center
    • Luling, TX
    • NPI 1356682298

    Operational/Managerial Control

    CMS ownership

Organizations & group practices 5

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.

Hospital & facility affiliations 9

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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355184000000",
    "number": "1205949112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 S CHURCH ST",
            "address_2": "SUITE B",
            "city": "LOCKHART",
            "state": "TX",
            "postal_code": "786442713",
            "telephone_number": "512-376-2999",
            "fax_number": "512-376-5562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 S CHURCH ST",
            "address_2": "SUITE B",
            "city": "LOCKHART",
            "state": "TX",
            "postal_code": "786442713",
            "telephone_number": "512-376-2999",
            "fax_number": "512-376-5562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHANDAS",
        "first_name": "RENU",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2012-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K9134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockhart, TX

Sources for this page

Verify at the official NPI Registry.