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RADIUS MEDICAL
NPI 1679378269
Internal Medicine in Irving, TX

Active since February 17, 2025CLIA 45D2331592 · Waiver
4425 W AIRPORT FWY STE 109, IRVING, TX 75062(940) 882-0137 Get Directions Write a Review

NPPES record last updated: February 17, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Radius Medical NPPES

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

RADIUS MEDICAL (NPI 1679378269) is a healthcare organization registered as an internal medicine in Irving, Texas and active in the NPI registry since February 2025. The organization holds a CLIA Waiver certificate valid through October 5, 2027 and lists Jessley Sara Ninan, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1679378269
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameRADIUS MEDICAL
Location Address4425 W AIRPORT FWY STE 109Irving, TX 75062-5810
Mailing Address4425 W Airport Fwy Ste 109Irving, TX 75062-5810 · (940) 882-0137
Phone(940) 882-0137
Organization SubpartNo
Authorized OfficialJessley Sara NinanPractice Manager · (940) 882-0137
Enumeration DateFebruary 17, 2025
NPPES CertifiedFebruary 17, 2025
✔ NPI 1679378269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4425 W AIRPORT FWY STE 109, Irving, TX 75062
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Radius Medical is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Radius Medical, which bills Medicare for the services this clinician delivers.

Clinician (1)

Michael Olatunji, M.D.
Internal Medicine
NPI 1750303863
12031 ASHAWAY LN
Frisco, TX 75035
(214) 992-0549
✔ PECOS26 mi

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 of Waiver 45D2331592

Radius Medical · Irving, TX
Active · expires Oct 5, 2027
CLIA Number45D2331592
Laboratory TypeClinic
Certificate Effective DateOctober 6, 2025
Certificate Expiration DateOctober 5, 2027
Laboratory DirectorMerrill Mohan
Laboratory Phone(940) 882-0137
Laboratory LocationRadius Medical4425 Airport Fwy 109, Irving, TX 75062
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only 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 Radius Medical's NPI number?

The NPI number for Radius Medical is 1679378269. It was assigned to this organization in the NPPES registry on February 17, 2025.

Where is Radius Medical located?

Radius Medical is located at 4425 W Airport Fwy Ste 109, Irving, TX 75062. The listed phone number is (940) 882-0137.

What is Radius Medical's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Radius Medical enrolled in Medicare?

Yes. Radius Medical is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Radius Medical?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Radius Medical. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Radius Medical hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2331592) is associated with this NPI, valid through October 5, 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 Radius Medical was last updated on February 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.