Individual provider Active NPI

Venkatesh Babu G. Segu, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Cedar Park, TX
National Provider Identifier
1073551115
Registry record updated Jun 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
N8849 Issued in TX
Practice address
1515 Medical Pkwy Ste 200
Cedar Park, TX 78613-7875
Phone
(512) 765-7806
Fax
(512) 456-7039
NPI assigned
Jun 2, 2006
Last updated
Jun 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X N8849 TX Primary

Addresses

Primary practice location

1515 Medical Pkwy Ste 200
Cedar Park, TX 78613-7875

Mailing address

1515 Medical Pkwy Ste 200
Cedar Park, TX 78613-7875
Phone (512) 765-7806

Other identifiers 1

IdentifierTypeStateIssuer
8CU727OtherTXBCBSTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110801000312 TX Practitioner - EndocrinologyPractitioner - Internal Medicine 4486621182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1515 Medical Pkwy
Suite 200
Cedar Park, TX 78613-2776
Phone (512) 765-7806

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.88 of 100Reported as individual
Quality
89.68
Promoting interoperability
100
Improvement activities
40
Cost
69.91

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Williamson Pain Institute PLLC PastSince Jul 15, 2017 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8645/brand/1/csg/1/fhir/r4
  • Direct secure messaging: venkatesh.segu.1@8645.direct.athenahealth.com

Organizations & group practices 2

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 2

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1073551115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 MEDICAL PKWY STE 200",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137875",
            "telephone_number": "512-765-7806",
            "fax_number": "512-456-7039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 MEDICAL PKWY STE 200",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137875",
            "telephone_number": "512-765-7806",
            "fax_number": "512-456-7039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGU",
        "first_name": "VENKATESH BABU",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "N8849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "8CU727",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

Verify at the official NPI Registry.