Active NPI
Vettaikorumakankav V Vedanarayanan, MD, FRCPC
- Neurology with Special Qualifications in Child Neurology Physician
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- S6321
- Practice address
- 4910 Mueller Blvd.
Suite 300
Austin, TX 78723 - Phone
- (512) 628-1855
- Fax
- (512) 380-7544
- NPI assigned
- Jun 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 12953 | MS | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 12953 | MS | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | S6321 | TX | Primary |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | S6321 | TX | |
| Pediatrics Physician | 208000000X | 12953 | MS | |
| Pediatrics Physician | 208000000X | S6321 | TX |
Addresses
Primary practice location
4910 Mueller Blvd.
Suite 300
Austin, TX 78723
Mailing address
4910 Mueller Blvd
Suite 300
Austin, TX 78723
Phone (512) 628-1855
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01234014 | Other | MS | RAILROAD MEDICARE PTAN |
| 1982156 | Medicaid | LA | |
| 155977 | Medicaid | AL | |
| PTAN P00462340 | Other | MS | RR MEDICARE |
| 00019355 | Medicaid | MS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1301 Barbara Jordan Blvd
Suite 200
Austin, TX 78723-3078
Phone (512) 628-1800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12953 | MS | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dell Children'S Medical Group | Pediatrics | Current | Accepting new patients |
| Dell Children'S Medical Group | Current | Accepting new patients | |
| Dell Children'S Medical Group | Pediatrics | Current | Accepting new patients |
| University Neurology Group, PLLC | Past | Accepting new patients |
Locations
1301 Barbara Jordan Blvd
Ste 200
Austin, TX 78723
Phone (512) 628-1800
4910 Mueller Blvd
Ste 300
Austin, TX 78723
Phone (512) 324-0907
1000 Hesters Crossing Rd
Round Rock, TX 78681
Phone (512) 628-1800
Interoperability endpoints
- vettaikorumakankav.vedanarayanan.1@8363.direct.athenahealth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Austin, TX
- NPI 1326072943
-
- Sleep Disorder Diagnostic Clinic/Center
- Austin, TX
- NPI 1124748249
-
- Pediatrics Physician
- Round Rock, TX
- NPI 1790103869
-
- Neurology Physician
- Jackson, MS
- NPI 1770599110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786320000000",
"number": "1174565469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4910 MUELLER BLVD",
"address_2": "SUITE 300",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78723",
"telephone_number": "512-628-1855",
"fax_number": "512-380-7544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4910 MUELLER BLVD.",
"address_2": "SUITE 300",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78723",
"telephone_number": "512-628-1855",
"fax_number": "512-380-7544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEDANARAYANAN",
"first_name": "VETTAIKORUMAKANKAV",
"middle_name": "V",
"name_prefix": "Mr.",
"credential": "MD, FRCPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2026-08-10",
"certification_date": "2026-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MS",
"license": "12953",
"primary": false
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "MS",
"license": "12953",
"primary": false
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "TX",
"license": "S6321",
"primary": true
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "TX",
"license": "S6321",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MS",
"license": "12953",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "S6321",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PTAN",
"identifier": "P01234014",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1982156",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "155977",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "PTAN P00462340",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00019355",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.