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NORTH TEXAS UROLOGY
NPI 1063653376
Urology in Richardson, TX

Active since March 16, 2009CLIA 45D2007605 · Microscopy
2821 E PRESIDENT GEORGE BUSH HWY, SUITE 305, RICHARDSON, TX 75082(972) 235-3248(972) 235-3984 Get Directions Write a Review

NPPES record last updated: September 20, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About North Texas Urology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTH TEXAS UROLOGY (NPI 1063653376) is a healthcare organization registered as an urology in Richardson, Texas and active in the NPI registry since March 2009. The organization holds a CLIA Microscopy certificate valid through April 16, 2027 and lists Ravi Kanth Mootha, President, as its authorized official.

NPPES Registry Identity

NPI1063653376
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameRAVI K. MOOTHA, M.D., P.A.
Location Address2821 E PRESIDENT GEORGE BUSH HWY, SUITE 305Richardson, TX 75082-4266
Mailing Address2821 E President George Bush Hwy, Suite 305Richardson, TX 75082-4266 · (972) 235-3248 · Fax (972) 235-3984
Phone(972) 235-3248
Fax(972) 235-3984
Organization SubpartNo
Authorized OfficialRavi Kanth MoothaPresident · (214) 514-8480
Enumeration DateMarch 16, 2009
Last NPPES UpdateSeptember 20, 2009
✔ NPI 1063653376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in TX · L7054
Definition
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.
2821 E PRESIDENT GEORGE BUSH HWY, Richardson, TX 75082
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Other Names 1

Doing Business AsNorth Texas Urology

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

North Texas Urology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to North Texas Urology, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Ravi Mootha, M.D.
Urology
NPI 1194820043
2821 E PRESIDENT GEORGE BUSH HWY SUITE 305
Richardson, TX 75082
(972) 235-3248
✔ PECOS✔ Accepts MedicareSame address
Supriya Sehgal, M.D.
Rheumatology
NPI 1225248156
2821 E. PRES. GEORGE BUSH HWY SUITE 305
Richardson, TX 75082
(972) 235-3248
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D2007605

North Texas Urology · Richardson, TX
Active · expires Apr 16, 2027
CLIA Number45D2007605
Laboratory TypePhysician Office
Certificate Effective DateApril 17, 2025
Certificate Expiration DateApril 16, 2027
Laboratory DirectorDr. Ravi K. Mootha
Laboratory Phone(972) 235-3248
Laboratory LocationNorth Texas Urology2821 E President George Bush Hwy, Suite 305, Richardson, TX 75082
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ravi K. Mootha, M.D., P.A.'s NPI number?

The NPI number for Ravi K. Mootha, M.D., P.A. is 1063653376. It was assigned to this organization in the NPPES registry on March 16, 2009. The provider is doing business as North Texas Urology.

Where is Ravi K. Mootha, M.D., P.A. located?

Ravi K. Mootha, M.D., P.A. is located at 2821 E President George Bush Hwy Suite 305, Richardson, TX 75082. The listed phone number is (972) 235-3248.

What is Ravi K. Mootha, M.D., P.A.'s specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Ravi K. Mootha, M.D., P.A. enrolled in Medicare?

Yes. Ravi K. Mootha, M.D., P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ravi K. Mootha, M.D., P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Ravi K. Mootha, M.D., P.A., in Rheumatology and Urology. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Ravi K. Mootha, M.D., P.A. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D2007605) is associated with this NPI, valid through April 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ravi K. Mootha, M.D., P.A. was last updated on September 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.