Individual provider Active NPI

Suresh Raheja, M.D.

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1457326183
Registry record updated Jun 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
H7485 Issued in TX
Practice address
3450 W Wheatland Rd
Suite #216
Dallas, TX 75237-3470
Phone
(972) 709-7766
Fax
(972) 709-7747
NPI assigned
Feb 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 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 H7485 TX Primary

Addresses

Primary practice location

3450 W Wheatland Rd
Suite #216
Dallas, TX 75237-3470

Mailing address

3450 W Wheatland Rd
Suite #216
Dallas, TX 75237-3470
Phone (972) 709-7766

Other identifiers 1

IdentifierTypeStateIssuer
098540002MedicaidTX

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
I20100916000174 TX Practitioner - Internal Medicine 4789709619 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Clinic of North Texas, PLLCGroup PAC ID 9830084540, 212 clinicians

Practice addresses (Care Compare)

6161 N State Hwy 161
Irving, TX 75038-2220
Phone (972) 258-7499

7501 Lakeview Pkwy
Suite 130
Rowlett, TX 75088-9324
Phone (972) 463-3100

900 Airport Fwy
Suite 158
Hurst, TX 76054-3253
Phone (817) 514-4000

Hospital & facility affiliations

  • Methodist Charlton Medical Center Hospital, Dallas, TX, CCN 450723

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H7485TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, PA Internal Medicine Current Accepting new patients
Medical Clinic of North Texas, PLLC Internal Medicine CurrentSince Mar 13, 2025 Accepting new patients
Wellmed Medical Group, P.a. Internal Medicine CurrentSince Oct 22, 2018 Accepting new patients
Medical Clinic of North Texas PLLC CurrentSince Mar 13, 2025 Accepting new patients
Wellmed Medical Group, P.a. Internal Medicine CurrentSince Oct 22, 2018 Accepting new patients

Locations

6161 State Highway 161
Ste 200
Irving, TX 75038
Phone (972) 257-7499

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: suresh.raheja@wellmed.eclinicaldirectplus.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1457326183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 W WHEATLAND RD",
            "address_2": "SUITE #216",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373470",
            "telephone_number": "972-709-7766",
            "fax_number": "972-709-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 W WHEATLAND RD",
            "address_2": "SUITE #216",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373470",
            "telephone_number": "972-709-7766",
            "fax_number": "972-709-7747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHEJA",
        "first_name": "SURESH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H7485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "098540002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.