Individual provider Active NPI

Sunil Reddy Cheruku, MD

  • Internal Medicine Physician
  • Austin, TX
National Provider Identifier
1235173345
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K4023 Issued in TX
Practice address
900 E 30TH St Ste 109
Austin, TX 78705-3323
Phone
(512) 544-5555
Fax
(512) 544-4143
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K4023 TX Primary

Addresses

Primary practice location

900 E 30TH St Ste 109
Austin, TX 78705-3323

Mailing address

1918 Leander Rd
Georgetown, TX 78628-8835
Phone (737) 808-4561

Other practice location 1

12221 N. Mopac Expwy
Austin, TX 78758-2496
Phone (512) 901-1750

Other identifiers 1

IdentifierTypeStateIssuer
1138000MedicaidTX

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
I20071003000798 TX Practitioner - Preventive MedicinePractitioner - Internal Medicine 7618917980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Preventive MedicineAlso: Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunil Reddy Cheruku, MD, PAGroup PAC ID 9830139195, 3 clinicians

Practice addresses (Care Compare)

1201 W 38TH St
Austin, TX 78705-1006
Phone (512) 324-1000

1201 W 38TH St FL
Suite 8
Austin, TX 78705-1006
Phone (512) 324-1000

12221 N Mopac Expy
Austin, TX 78758-2401
Phone (512) 901-1174

1918 Leander Rd
Georgetown, TX 78628-8835
Phone (512) 686-2427

919 E 32ND St
Austin, TX 78705-2703
Phone (512) 476-7111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue400
Removal of skin lesions1-10
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sunil Reddy Cheruku, MD, PA Internal Medicine CurrentSince Dec 19, 2000 Accepting new patients
Hyperbaric Medicine Consultants PA PastSince Oct 31, 2021 Accepting new patients

Locations

1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058

900 E 30th St
Ste 109
Austin, TX 78705
Phone (512) 404-8145

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

1918 Leander Rd
Georgetown, TX 78628
Phone (512) 275-1810

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 and National Provider Directory roles.

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1235173345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1918 LEANDER RD",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786288835",
            "telephone_number": "737-808-4561",
            "fax_number": "877-260-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E 30TH ST STE 109",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787053323",
            "telephone_number": "512-544-5555",
            "fax_number": "512-544-4143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12221 N. Mopac Expwy",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787582496",
            "country_code": "US",
            "telephone_number": "512-901-1750",
            "fax_number": "512-901-1774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHERUKU",
        "first_name": "SUNIL",
        "middle_name": "REDDY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K4023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1138000",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.