NORTH TEXAS UROLOGY
NPI 1063653376
Urology in Richardson, TX

NPI Status: Active since March 16, 2009

Contact Information

2821 E PRESIDENT GEORGE BUSH HWY
SUITE 305
RICHARDSON, TX
ZIP 75082
Phone: (972) 235-3248
Fax: (972) 235-3984

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Urology
CLIA Number: 45D2007605
CLIA Cert. Type: Physician Office
CLIA Exp. Date: 04-16-2027

About NORTH TEXAS UROLOGY

This page provides the complete NPI Profile along with additional information for North Texas Urology, a provider established in Richardson, Texas operating as a Urology. The healthcare provider is registered in the NPI registry with number 1063653376 assigned on March 2009. The practitioner's primary taxonomy code is 208800000X with license number L7054 (TX). The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as North Texas Urology. The authorized official of this NPI record is Dr. Ravi Kanth Mootha M.d. (President)

NPI: 1063653376
Provider Legal Name: RAVI K. MOOTHA, M.D., P.A.
Other Organization Name: NORTH TEXAS UROLOGY
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 2821 E PRESIDENT GEORGE BUSH HWY SUITE 305 RICHARDSON, TX 75082
Location Phone: (972) 235-3248
Location Fax: (972) 235-3984
Mailing Address: 2821 E PRESIDENT GEORGE BUSH HWY SUITE 305 RICHARDSON, TX 75082
Mailing Phone: (972) 235-3248
Mailing Fax: (972) 235-3984
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 03-16-2009
Last Update Date: 09-20-2009
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Urology
Taxonomy Code: 208800000X
Type: Allopathic & Osteopathic Physicians
License No.: L7054
License State: TX
Taxonomy Description: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: DR. RAVI KANTH MOOTHA M.D.
Authorized Official Title: PRESIDENT
Authorized Official Phone: (214) 514-8480

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 45D2007605
Facility Type: Physician Office
Certificate Effective Date: April 17, 2025
Certificate Expiration Date: April 16, 2027
Laboratory Director: DR. RAVI K. MOOTHA
Certificate Type: Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description: This CLIA certificate is issued to North Texas Urology in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	0	6	3	6	5	3	3	7	6
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	0	12	3	12	5	6	3	14
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 1 + 2 + 5 + 6 + 3 + 1 + 4 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 6									6

The NPI number 1063653376 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 20 providers are registered at the same or nearby location.

WILLIAM T LIN MD

Pediatrics

2821 E PRESIDENT GEORGE BUSH HWY
SUITE 101
RICHARDSON, TX
ZIP 75082

About NORTH TEXAS UROLOGY

Location Map

Specialty - Primary Taxonomy

Urology

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

Authorized Official

DR. RAVI KANTH MOOTHA M.D.

CLIA Information

Reviews for NORTH TEXAS UROLOGY

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

What is RAVI K. MOOTHA, M.D., P.A.'s NPI number?

Where is the provider located?

What is the provider's specialty?