Active NPI
Neethu Mohan Menon
- Pediatric Hematology & Oncology Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Hematology & Oncology Physician
- License
- R7818
- Practice address
- 6655 Travis St Ste 400
Houston, TX 77030 - Phone
- (713) 500-8375
- NPI assigned
- Jun 19, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | R73275 | AZ | |
| Pediatric Hematology & Oncology Physician | 2080P0207X | R7818 | TX | Primary |
Addresses
Primary practice location
6655 Travis St Ste 400
Houston, TX 77030
Mailing address
6655 Travis St Ste 400
Houston, TX 77030-1343
Phone (713) 500-8375
Other practice location 1
1501 N Campbell Ave
Tucson, AZ 85724-5073
Phone (520) 626-7944
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 392372403 | Medicaid | TX | |
| 392372404 | Other | TX | CSHCN TPI |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R73275 | AZ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Physicians | Current | Accepting new patients | |
| Physicians Referral Service | Current | Accepting new patients | |
| Ut Physicians | Pediatrics | Current | Accepting new patients |
| The University of Texas Health Science Center Houston | Past | Accepting new patients | |
| The University of Texas Health Science Center at Houston | Past | Accepting new patients |
Locations
7000 Fannin St
Ste 750
Houston, TX 77030
Phone (713) 500-6031
1515 Holcombe Blvd
Houston, TX 77030
Phone (713) 794-5446
6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714
1515 Holcombe Blvd
#R4212
Houston, TX 77030
Phone (713) 794-5446
1515 Holcombe Blvd
#M
Houston, TX 77030
Phone (713) 792-6127
6655 Travis St
Ste 400
Houston, TX 77030
Phone (713) 500-8360
6410 Fannin St
Ste 824B
Houston, TX 77030
Interoperability endpoints
- nmenon13781@direct.uth.org
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Houston, TX
- NPI 1073574810
-
dba Gulf States Pharmacy
- Specialty Pharmacy
- Houston, TX
- NPI 1174710636
-
dba Gulf States Hemophilia and Thrombophilia
- Clinic/Center
- Houston, TX
- NPI 1962691006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590451200000",
"number": "1952664518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6655 TRAVIS ST STE 400",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770301343",
"telephone_number": "713-500-8375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6655 TRAVIS ST STE 400",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77030",
"telephone_number": "713-500-8375"
}
],
"practiceLocations": [
{
"address_1": "1501 N Campbell Ave",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857245073",
"country_code": "US",
"telephone_number": "520-626-7944",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENON",
"first_name": "NEETHU",
"middle_name": "MOHAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-19",
"last_updated": "2020-05-26",
"certification_date": "2020-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "R73275",
"primary": false
},
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "TX",
"license": "R7818",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "392372403",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSHCN TPI",
"identifier": "392372404",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.