Organization Active NPI

Veena Surapaneni PA

  • Internal Medicine Physician
  • Cedar Park, TX
National Provider Identifier
1285717363
Registry record updated Jan 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
VEENA SURAPANENI PA
Practice address
11901 W Parmer LN
Ste 110
Cedar Park, TX 78613-7651
Phone
(512) 260-5206
Fax
(512) 260-5211
NPI assigned
Oct 23, 2006
Last updated
Jan 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2011

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

Authorized official

Name
Dr. Veena Surapaneni, MDNPI 1235212580
Title
MD President
Phone
(512) 260-5206

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
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

11901 W Parmer LN
Ste 110
Cedar Park, TX 78613-7651

Mailing address

11901 W Parmer LN
110
Cedar Park, TX 78613-7651
Phone (512) 260-5206

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101007000098 TX Part B Supplier - Clinic/Group Practice 5991997132 Receives reassigned benefits from 1 practitioner
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
45D0970160Veena Surapaneni PA11901 W Parmer Lane Ste 110, Cedar Park, TX 78613Certificate of waiverFeb 3, 2028

National Provider Directory

National Provider Directory

Locations

11901 W Parmer Ln
Ste 110
Cedar Park, TX 78613
Phone (512) 260-5206

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294876800000",
    "number": "1285717363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11901 W PARMER LN",
            "address_2": "110",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137651",
            "telephone_number": "512-260-5206",
            "fax_number": "512-260-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11901 W PARMER LN",
            "address_2": "STE 110",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137651",
            "telephone_number": "512-260-5206",
            "fax_number": "512-260-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEENA SURAPANENI PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2011-01-13",
        "status": "A",
        "authorized_official_last_name": "SURAPANENI",
        "authorized_official_first_name": "VEENA",
        "authorized_official_title_or_position": "MD PRESIDENT",
        "authorized_official_telephone_number": "512-260-5206",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 13, 2011; 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.