Individual provider Active NPI

Mukul P Maheshwari, MD

  • Diagnostic Radiology Physician
  • Lubbock, TX
National Provider Identifier
1760477236
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
K5144 Issued in TX
Practice address
4005 24TH St
Lubbock, TX 79410-1815
Phone
(806) 792-2767
Fax
(888) 861-8858
NPI assigned
Sep 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X K5144 TX Primary

Addresses

Primary practice location

4005 24TH St
Lubbock, TX 79410-1815

Mailing address

7200 Cambridge St
Houston, TX 77030-4202
Phone (713) 798-2400

Other practice location 1

17980 Dallas Pkwy
Dallas, TX 75287-6702
Phone (817) 321-0309

Other practice location 2

1429 Clear Lake Rd Ste 400
Weatherford, TX 76086-8803
Phone (817) 321-0390

Other practice location 3

815 Pennsylvania Ave
Fort Worth, TX 76104-2224
Phone (817) 321-0390

Other practice location 4

1504 Taub Loop
Houston, TX 77030-1608
Phone (832) 826-1385

Other practice location 5

7200 Cambridge St
Houston, TX 77030-4202
Phone (713) 798-2400

Other identifiers 1

IdentifierTypeStateIssuer
047908101MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 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
I20120224000756 TX Practitioner - Diagnostic Radiology 7012815301 Reassigns benefits to 5 organizations
I20210818003424 NM Practitioner - Diagnostic Radiology 7012815301

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
JC Edwards School of Medicine, Marshall University, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baylor College of MedicineGroup PAC ID 8224941265, 796 clinicians
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians

Practice addresses (Care Compare)

1502 Taub Loop
Houston, TX 77030-1608
Phone (713) 873-4900

1504 Taub Loop
Houston, TX 77030-1608
Phone (713) 873-2000

2525 A Holly Hall St
Houston, TX 77054-4124
Phone (713) 526-4243

4503 93Rd Dr
Lubbock, TX 79424-5113
Phone (855) 504-4544

Hospital & facility affiliations

  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • HCA Houston Healthcare Clear Lake Hospital, Webster, TX, CCN 450617
  • Memorial Hermann Northeast Hospital Hospital, Humble, TX, CCN 450684
  • Harris Health Hospital, Houston, TX, CCN 450289
  • HCA Houston Healthcare Medical Center Hospital, Houston, TX, CCN 450659

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K5144TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology & Imaging of South Texas,LLP Diagnostic Radiology CurrentSince May 18, 1998 Accepting new patients
Baylor College of Medicine CurrentSince Nov 1, 2022 Accepting new patients
Baylor College of Medicine Diagnostic Radiology CurrentSince Nov 1, 2022 Accepting new patients
Baylor College of Medicine CurrentSince Nov 1, 2022 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Oct 1, 2022 Accepting new patients
Baylor College of Medicine CurrentSince Nov 1, 2022 Accepting new patients
Memorial MRI and Diagnostic LLC Diagnostic Radiology CurrentSince Feb 1, 2018 Accepting new patients
Baylor College of Medicine Past Accepting new patients
Clinical Care in Radiology Past Accepting new patients

Locations

3226 Reid Dr
Corpus Christi, TX 78404
Phone (361) 853-4503

3226 S Alameda St
Corpus Christi, TX 78404
Phone (361) 888-6684

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

7200 Cambridge St
Houston, TX 77030
Phone (713) 798-2400

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

1241 Campbell Rd
Houston, TX 77055
Phone (713) 568-6095

6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092

1346 Campbell Rd
Houston, TX 77055

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

1504 Taub Loop
#621
Houston, TX 77030

6720 Bertner Ave
#2270
Houston, TX 77030
Phone (832) 355-4092

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

9155 Grapevine Hwy
Ste 120
North Richland Hills, TX 76180

Organizations & group practices 11

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 10

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": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1760477236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 CAMBRIDGE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304202",
            "telephone_number": "713-798-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 24TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101815",
            "telephone_number": "806-792-2767",
            "fax_number": "888-861-8858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17980 Dallas Pkwy",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752876702",
            "country_code": "US",
            "telephone_number": "817-321-0309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1429 Clear Lake Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Weatherford",
            "state": "TX",
            "postal_code": "760868803",
            "country_code": "US",
            "telephone_number": "817-321-0390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "815 Pennsylvania Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761042224",
            "country_code": "US",
            "telephone_number": "817-321-0390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1504 Taub Loop",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770301608",
            "country_code": "US",
            "telephone_number": "832-826-1385",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7200 Cambridge St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770304202",
            "country_code": "US",
            "telephone_number": "713-798-2400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHESHWARI",
        "first_name": "MUKUL",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "K5144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047908101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.