Individual provider Active NPI

Radhika Mohan, MD

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1528649456
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
W7090 Issued in TX
Practice address
12201 Merit Dr Ste 300
Dallas, TX 75251-3139
Phone
(214) 522-4886
NPI assigned
Apr 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X W7090 TX Primary

Addresses

Primary practice location

12201 Merit Dr Ste 300
Dallas, TX 75251-3139

Mailing address

3113 Cornell Ave
Dallas, TX 75205-2931
Phone (214) 522-4886

Other practice location 1

109 Burton Ave
Summerville, SC 29485-8117
Phone (843) 970-5870

Other practice location 2

333 N Santa Rosa
San Antonio, TX 78207-3108
Phone (210) 704-3910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20240104004550 SC Order and Referring Only - Family PracticePractitioner - Family Practice 3375994221

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00000000000SCMDFamily Medicine Physician
00000000TXMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1528649456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3113 CORNELL AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752052931",
            "telephone_number": "214-522-4886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12201 MERIT DR STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752513139",
            "telephone_number": "214-522-4886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 Burton Ave",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "SC",
            "postal_code": "294858117",
            "country_code": "US",
            "telephone_number": "843-970-5870",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 N Santa Rosa",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782073108",
            "country_code": "US",
            "telephone_number": "210-704-3910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHAN",
        "first_name": "RADHIKA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-21",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "W7090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.