Individual provider Active NPI

Keshav Mohan Menon

  • Diagnostic Radiology Physician
  • Fort Worth, TX
National Provider Identifier
1669816658
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
Q6770 Issued in TX
Practice address
815 Pennsylvania Ave
Fort Worth, TX 76104-2294
Phone
(817) 321-0404
NPI assigned
Apr 22, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 82297 WI
Vascular & Interventional Radiology Physician 2085R0204X 82297 WI
Diagnostic Radiology Physician 2085R0202X Q6770 TX Primary

Addresses

Primary practice location

815 Pennsylvania Ave
Fort Worth, TX 76104-2294

Mailing address

1320 S University Dr Ste 500
Fort Worth, TX 76107-5732
Phone (817) 321-0404

Other practice location 1

925 Seneca St
Seattle, WA 98101-2742
Phone (206) 583-6079

Other practice location 2

2000 E Layton Ave
St Francis, WI 53235-6053
Phone (414) 744-6589

Other identifiers 1

IdentifierTypeStateIssuer
100251889MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190617002945 TX Practitioner - Diagnostic Radiology 7416198700 Reassigns benefits to 2 organizations
I20230606002753 WI Practitioner - Diagnostic Radiology 7416198700 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Indiana University School of Medicine, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Methodist-CdiGroup PAC ID 3072836600, 43 clinicians
Radiology Associates of North Texas PAGroup PAC ID 7911897301, 340 clinicians

Practice addresses (Care Compare)

1750 N Hampton Rd
Desoto, TX 75115-2306
Phone (214) 420-5400

4140 E Renner Rd
Suite 100
Richardson, TX 75082-2807
Phone (972) 920-0115

8080 Independence Pkwy
Suite 105
Plano, TX 75025-4003
Phone (972) 208-1858

815 Pennsylvania Ave
Fort Worth, TX 76104-2224
Phone (817) 321-0470

Hospital & facility affiliations

  • Medical City Dallas Hospital Hospital, Dallas, TX, CCN 450647
  • Methodist Dallas Medical Center Hospital, Dallas, TX, CCN 450051
  • Texas Health Presbyterian Hospital Dallas Hospital, Dallas, TX, CCN 450462
  • Methodist Charlton Medical Center Hospital, Dallas, TX, CCN 450723
  • Texas Health Harris Methodist Fort Worth Hospital, Fort Worth, TX, CCN 450135

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
82297WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Nov 3, 2025 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Nov 3, 2025 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Nov 3, 2025 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Nov 3, 2025 Accepting new patients
Aurora Health Care Metro, Inc. CurrentSince Jun 1, 2023 Accepting new patients
Radiology Associates of North Texas PA Diagnostic Radiology CurrentSince Aug 18, 2025 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Nov 3, 2025 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Nov 3, 2025 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Nov 3, 2025 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Nov 3, 2025 Accepting new patients
Baycare Aurora, LLC CurrentSince Jun 1, 2023 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Nov 3, 2025 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Nov 3, 2025 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Nov 3, 2025 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Nov 3, 2025 Accepting new patients
Radiology Associates of North Texas, PA Diagnostic Radiology CurrentSince Aug 18, 2025 Accepting new patients
Health Imaging Partners, LLC CurrentSince Nov 3, 2025 Accepting new patients
Clinical Care in Radiology Past Accepting new patients

Locations

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

17980 Dallas Pkwy
Ste 200
Dallas, TX 75287
Phone (972) 248-1303

1320 S University Dr
Ste 500
Fort Worth, TX 76107
Phone (817) 321-0391

815 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 321-0300

3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100

2253 W Mason St
Green Bay, WI 54303
Phone (920) 327-7000

2845 Greenbrier Rd
Green Bay, WI 54311
Phone (920) 288-3388

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

2900 W Oklahoma Ave
Milwaukee, WI 53215
Phone (414) 385-2590

S74W16775 Janesville Rd
Muskego, WI 53150
Phone (414) 422-4747

2000 E Layton Ave
St Francis, WI 53235
Phone (414) 744-7880

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 6

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": "1366588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1669816658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 S UNIVERSITY DR STE 500",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761075732",
            "telephone_number": "817-321-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 PENNSYLVANIA AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042294",
            "telephone_number": "817-321-0404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "925 Seneca St",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981012742",
            "country_code": "US",
            "telephone_number": "206-583-6079",
            "fax_number": "203-341-1881",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 E Layton Ave",
            "address_purpose": "LOCATION",
            "city": "St Francis",
            "state": "WI",
            "postal_code": "532356053",
            "country_code": "US",
            "telephone_number": "414-744-6589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENON",
        "first_name": "KESHAV",
        "middle_name": "MOHAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-22",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "82297",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "WI",
            "license": "82297",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "Q6770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100251889",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.