NPIMap

Organization Active NPI

Merit Radiology PLLC

  • Diagnostic Radiology Physician
  • Carrollton, TX
National Provider Identifier
1326819145
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
MERIT RADIOLOGY PLLC
Practice address
4343 N Josey LN
Carrollton, TX 75010-4603
Phone
(972) 492-1010
NPI assigned
Jan 10, 2024
Last updated
Mar 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Authorized official

Name
Dr. Ravi Mydur, MDNPI 1215198163
Title
Doctor
Phone
(479) 452-9416

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

4343 N Josey LN
Carrollton, TX 75010-4603

Mailing address

5707 Jenny Lind Rd
Fort Smith, AR 72908-7435
Phone (479) 452-9416

Other practice location 1

9440 Poppy Dr
Dallas, TX 75218-3652
Phone (214) 324-6100

Other practice location 2

4741 Harlow Bend Dr
Irving, TX 75038-5201
Phone (915) 613-8388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240326003070 TX Part B Supplier - Clinic/Group Practice 3274970256 Receives reassigned benefits from 68 practitioners
Practice locations: Addison, TX; Carrollton, TX; Dallas, TX; Hillsboro, TX; Irving, TX

National Provider Directory

National Provider Directory

Locations

3900 Teleport Blvd
Unit 140369
Irving, TX 75014

Practitioners & affiliated clinicians

Practitioners 81

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 81

NPI Registry JSON

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1326819145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5707 JENNY LIND RD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729087435",
            "telephone_number": "479-452-9416",
            "fax_number": "479-242-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 N JOSEY LN",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104603",
            "telephone_number": "972-492-1010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9440 Poppy Dr",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752183652",
            "country_code": "US",
            "telephone_number": "214-324-6100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4741 Harlow Bend Dr",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750385201",
            "country_code": "US",
            "telephone_number": "915-613-8388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MERIT RADIOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-10",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "MYDUR",
        "authorized_official_first_name": "RAVI",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "479-452-9416",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.