Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jolson Korah Tharakan, MD

Individual provider Family Medicine Physician · NPI 1275784555

Dr. Jolson Korah Tharakan, MD is a Family Practice in Flower Mound, Texas. Qualified in 2007, 19 years ago. Practices with Innovista Provider Group Texas PA, a 24-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Texas and Virginia.

Years since qualifying
19
Licensed in
TX, VA
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4001 Long Prairie Rd Ste 160
Flower Mound, TX 75028-1528
Phone: (972) 355-1505
Fax: (972) 355-1095
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 648 Grassfield Pkwy, Chesapeake, VA 23322-7465 — (757) 738-1325

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence T0015 (TX)
Family Medicine Physician Taxonomy 207Q00000X · Licence 0101257823 (VA)

Record details

NPI number1275784555
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 6, 2008
Last updated in NPPESDecember 3, 2025
Certification dateDecember 3, 2025
Mailing address648 Grassfield Pkwy, Suite 1, Chesapeake, VA 23322-7465

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Innovista Provider Group Texas Pa — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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