NPIMap

Individual provider Active NPI

Mrunalini Vinayak Radkar, M.D.

  • Internal Medicine Physician
  • Wichita Falls, TX
National Provider Identifier
1972530400
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M2024 Issued in TX
Practice address
5500 Kell Blvd Ste 100
Wichita Falls, TX 76310-1612
Phone
(940) 696-5335
NPI assigned
Jun 28, 2006
Last updated
Mar 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M2024 TX Primary

Addresses

Primary practice location

5500 Kell Blvd Ste 100
Wichita Falls, TX 76310-1612

Mailing address

2020 Berkley Dr
Wichita Falls, TX 76308-1345
Phone (940) 766-5629

Other names 1

  • Mrunalini Vinayak Dhongade Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051129000444 TX Practitioner - Internal MedicinePractitioner - Hospice/Palliative Care 6800816463 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospice/Palliative Care
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5500 Kell Blvd
Suite 100
Wichita Falls, TX 76310-1612
Phone (940) 696-5335

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M2024TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Regional Health Care System Inc Current Accepting new patients
Mrunalini Radkar MD PLLC Internal Medicine CurrentSince Oct 15, 2013 Accepting new patients
At Home by Choice Inc. CurrentSince May 1, 2024 Accepting new patients
Avenir Hospice Care LLC PastSince Jul 9, 2023 Accepting new patients

Locations

1103 Grace St
Wichita Falls, TX 76301
Phone (940) 720-6633

1111 Holliday St
Wichita Falls, TX 76301
Phone (888) 948-0088

5420 Kell Blvd
Wichita Falls, TX 76310
Phone (940) 692-5888

5500 Kell Blvd
Ste 100
Wichita Falls, TX 76310
Phone (940) 264-2273

Interoperability endpoints

  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
  • Direct secure messaging: mradkar14525@unitedregional.medalliesdirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1972530400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 BERKLEY DR",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763081345",
            "telephone_number": "940-766-5629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 KELL BLVD STE 100",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763101612",
            "telephone_number": "940-696-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADKAR",
        "first_name": "MRUNALINI",
        "middle_name": "VINAYAK",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M2024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MRUNALINI",
            "last_name": "DHONGADE",
            "middle_name": "VINAYAK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.