Active NPI
Satish B. Potluri, M.D.
- Internal Medicine Physician
- Lakeway, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- N5340
- Practice address
- 100 Medical Pkwy
Lakeway, TX 78738-5621 - Phone
- (512) 571-5000
- NPI assigned
- Dec 5, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD432507 | PA | |
| Hospitalist Physician | 208M00000X | MD432507 | PA | |
| Internal Medicine Physician | 207R00000X | N5340 | TX | Primary |
Addresses
Primary practice location
100 Medical Pkwy
Lakeway, TX 78738-5621
Mailing address
PO Box 844658
Dallas, TX 75284-4658
Phone (254) 724-8800
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1020436720003 | Medicaid | PA | |
| 1998135 | Other | PA | HIGHMARK BLUE SHIELD |
| 314152501 | Medicaid | TX | |
| 314152504 | Medicaid | TX | |
| 314152502 | Medicaid | TX | |
| 1020436720002 | Medicaid | PA | |
| 30048106 | Other | PA | KEYSTONE MERCY |
| 314152503 | Medicaid | TX | |
| 1020436720001 | Medicaid | PA | |
| 1747437 | Other | PA | AETNA GRP # |
| 2858549000 | Other | PA | KEYSTONE IBC GRP # |
| 39159 | Other | PA | HEALTH PARTNERS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | spotluri332865@direct.sw.org | Direct |
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
- Internal Medicine
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Medical Pkwy
Lakeway, TX 78738-5621
Phone (512) 571-5000
1701 E Pflugerville Pkwy
Baylor Scott and White Clinic Pflug
Pflugerville, TX 78660-8990
Phone (512) 259-6000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD432507 | PA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott and White Clinic | Internal Medicine | Current | Accepting new patients |
| Scott & White Clinic | Internal Medicine | Current | Accepting new patients |
| Austin Critical Care Specialists PA | Current | Accepting new patients | |
| Scott & White Clinic | Internal Medicine | Current | Accepting new patients |
| Austin Critical Care Specialists PA | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Texas, PLLC | Internal Medicine | Current | Accepting new patients |
| Seton Hospitalist Service | Internal Medicine | Past | Accepting new patients |
| Scott & White Hospital - Round Rock | Past | Accepting new patients |
Locations
601 E 15th St
Austin, TX 78701
Phone (512) 324-7868
11113 Research Blvd
Austin, TX 78759
Phone (512) 324-1125
101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100
3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800
1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431
7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000
18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409
850 W Central Texas Expy
Killeen, TX 76548
Phone (254) 690-0900
100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100
1701 E Pflugerville Pkwy
Pflugerville, TX 78660
Phone (512) 259-6000
201 Seton Pkwy
Round Rock, TX 78665
Phone (512) 324-1010
2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459
2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000
Interoperability endpoints
- spotluri332865@direct.sw.org
Organizations & group practices 8
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.
-
dba Baylor Scott & White Clinic - Temple
- Internal Medicine Physician
- Temple, TX
- NPI 1093779704
-
- Critical Care Medicine (Internal Medicine) Physician
- Austin, TX
- NPI 1447435805
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
-
- Critical Care Medicine (Internal Medicine) Physician
- Round Rock, TX
- NPI 1548445596
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1649820796
-
dba Baylor Scott & White Medical Center - Round Rock
- General Acute Care Hospital
- Round Rock, TX
- NPI 1265568638
-
dba Adult Inpatient Medical Services
- Internal Medicine Physician
- Austin, TX
- NPI 1013293679
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baylor Scott & White Medical Center - Marble Falls
- General Acute Care Hospital
- Marble Falls, TX
- NPI 1396138970
-
dba Baylor Scott & White Medical Center - Round Rock
- General Acute Care Hospital
- Round Rock, TX
- NPI 1265568638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609804800000",
"number": "1285816827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844658",
"city": "DALLAS",
"state": "TX",
"postal_code": "752844658",
"telephone_number": "254-724-8800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MEDICAL PKWY",
"city": "LAKEWAY",
"state": "TX",
"postal_code": "787385621",
"telephone_number": "512-571-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTLURI",
"first_name": "SATISH",
"middle_name": "B.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-05",
"last_updated": "2021-01-05",
"certification_date": "2021-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD432507",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "PA",
"license": "MD432507",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "N5340",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1020436720003",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "1998135",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "314152501",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "314152504",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "314152502",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1020436720002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY",
"identifier": "30048106",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "314152503",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1020436720001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA GRP #",
"identifier": "1747437",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE IBC GRP #",
"identifier": "2858549000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "39159",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "spotluri332865@direct.sw.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "100 Medical Pkwy",
"city": "Lakeway",
"state": "TX",
"country_code": "US",
"postal_code": "787385621",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lakeway, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.