Radha Gopal Iyengar, MD

Primary specialty

Surgical Oncology PhysicianTaxonomy code 2086X0206X

License

N1354 Issued in TX

Practice address

1105 Central Expy N Ste 2100
Medical Building 2
Allen, TX 75013-6120

Phone

(972) 747-6401

Fax

(972) 747-6405

NPI assigned

Mar 15, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Specialty

Surgical OncologyAlso: General Surgery

Education

University of Florida College of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Texas Health Presbyterian Hospital Allen Hospital, Allen, TX, CCN 450840
• Medical Center of McKinney Hospital, McKinney, TX, CCN 450403

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: riyengar17999@direct.texashealth.org

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.

• Texas Health Physicians Group

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1174573596
  Medicare reassignment Care Compare group NPD (past)
• Texas Health Physicians Group

  dba Sleep Healers

  • Sleep Disorder Diagnostic Clinic/Center
  • Fort Worth, TX
  • NPI 1114395969
  NPD
• Texas Health Physicians Group

  dba Sleep Healers

  • Sleep Disorder Diagnostic Clinic/Center
  • Dallas, TX
  • NPI 1174992051
  NPD
• Texas Health Physicians Group

  • Internal Medicine Physician
  • Kaufman, TX
  • NPI 1992151740

  Surgery

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Columbia Medical Center of McKinney Subsidiary LP

  dba Medical City McKinney

  • General Acute Care Hospital
  • McKinney, TX
  • NPI 1437102639
  Care Compare affiliation
• Texas Health Presbyterian Hospital Allen

  • General Acute Care Hospital
  • Allen, TX
  • NPI 1548291883
  Care Compare affiliation

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1568596963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 CENTRAL EXPY N STE 2100",
            "address_2": "MEDICAL BUILDING 2",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750136120",
            "telephone_number": "972-747-6401",
            "fax_number": "972-747-6405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 CENTRAL EXPY N STE 2100",
            "address_2": "MEDICAL BUILDING 2",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750136120",
            "telephone_number": "972-747-6401",
            "fax_number": "972-747-6405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IYENGAR",
        "first_name": "RADHA",
        "middle_name": "GOPAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "N1354",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "059085",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "TX",
            "license": "N1354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206326501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isanlux LLC (Isanlux Benevolence)
• Nurul Islam, M.D.
• Heather Isle
• Rida Ismail
• Ivy Diagnostics LLC
• J Hawkins Chiropractic P a (Hawkins Chiropractic)
• J-S Allen Operations, LP (Victoria Gardens of Allen)
• J. Todd Carruthers, MD, PA
• Jabari Healthcare LLC
• Ashley Marisa Jackson, ATC

• Surgical Oncology Physician in Allen, TX
• Providers in Allen, TX by specialty
• Surgical Oncology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.