Organization Active NPI

Venkatesh Segu, MD, PA

  • Endocrinology, Diabetes & Metabolism Physician
  • Cedar Park, TX
National Provider Identifier
1104264993
Registry record updated Jul 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
VENKATESH SEGU, MD, PA
Practice address
1515 Medical Pkwy Ste 200
Cedar Park, TX 78613-7875
Phone
(512) 765-7806
Fax
(512) 456-7039
NPI assigned
Jun 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2020

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

Authorized official

Name
Venkatesh Babu G. SeguNPI 1073551115
Title
Medical Director
Phone
(512) 765-7806

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X 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 names 1

  • CAPITAL ENDOCRINE & DIABETES Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130905000295 TX Part B Supplier - Clinic/Group Practice 1951544287 Receives reassigned benefits from 2 practitioners
Practice locations: Cedar Park, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2081356Capital Endocrine & Diabetes1515 Medical Pkwy, Ste 200, Cedar Park, TX 78613Certificate of waiverJul 22, 2028

National Provider Directory

National Provider Directory

Locations

1464 E Whitestone Blvd
Ste 801
Cedar Park, TX 78613
Phone (512) 765-7806

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

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593648000000",
    "number": "1104264993",
    "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": {
        "organization_name": "VENKATESH SEGU, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-13",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A",
        "authorized_official_last_name": "SEGU",
        "authorized_official_first_name": "VENKATESH BABU",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "512-765-7806"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAPITAL ENDOCRINE & DIABETES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.