Active NPI
Keshav Mohan Menon
- Diagnostic Radiology Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- Q6770
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100251889 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Indiana University School of Medicine, 2013
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
- Methodist Dallas Medical Center
- Texas Health Presbyterian Hospital Dallas
- Methodist Charlton Medical Center
- Texas Health Harris Methodist Fort Worth
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82297 | WI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Imaging Partners LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Aurora Health Care Metro, Inc. | Current | Accepting new patients | |
| Radiology Associates of North Texas PA | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Baycare Aurora, LLC | Current | Accepting new patients | |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Associates of North Texas, PA | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Current | 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.
-
- Diagnostic Radiology Physician
- Fort Worth, TX
- NPI 1710970975
-
- Diagnostic Radiology Physician
- Plano, TX
- NPI 1164829214
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1861447179
-
- General Acute Care Hospital
- Green Bay, WI
- NPI 1255387726
-
- Physiological Laboratory
- Fort Worth, TX
- NPI 1649753716
Diagnostic Radiology
-
- Physiological Laboratory
- Cleburne, TX
- NPI 1679994313
Diagnostic Radiology
-
- Physiological Laboratory
- Mansfield, TX
- NPI 1093045072
Diagnostic Radiology
-
- Physiological Laboratory
- Fort Worth, TX
- NPI 1104109552
Diagnostic Radiology
-
- Physiological Laboratory
- Bedford, TX
- NPI 1215358957
Diagnostic Radiology
-
- Physiological Laboratory
- Dallas, TX
- NPI 1275892341
Diagnostic Radiology
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1023180502
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1689628984
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1275592131
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1528027786
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1336172105
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1396779948
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.