Individual provider Active NPI

Venkata Subrahmanya Sastry Prayaga, MD

  • Interventional Cardiology Physician
  • Waco, TX
National Provider Identifier
1487699864
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
U1747 Issued in TX
Practice address
50 Hillcrest Medical Blvd
Waco, TX 76712-8952
Phone
(254) 202-7204
NPI assigned
Jun 18, 2006
Last updated
Aug 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X U1747 TX Primary

Addresses

Primary practice location

50 Hillcrest Medical Blvd
Waco, TX 76712-8952

Mailing address

PO Box 844658
Dallas, TX 75284-4658
Phone (800) 994-0371

Other practice location 1

2205 W Main St
Russellville, AR 72801-2759
Phone (479) 968-4311

Other identifiers 2

IdentifierTypeStateIssuer
02570501MedicaidNY
176975001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080822000534 AR Practitioner - Cardiovascular Disease (Cardiology) 3274509260 Reassigns benefits to 1 organization
I20230215000508 TX Practitioner - Interventional Cardiology 3274509260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scott and White ClinicGroup PAC ID 8123923604, 2,426 clinicians

Practice addresses (Care Compare)

50 Hillcrest Medical Blvd
Suite 303
Waco, TX 76712-8955
Phone (254) 202-0480

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting28
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U1747TXMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Marys Physician Services, LLC CurrentSince Sep 24, 2011 Accepting new patients
Scott & White Clinic Internal Medicine Current Accepting new patients
St Mary's Physician Services LLC Internal Medicine CurrentSince Sep 24, 2011 Accepting new patients
Scott & White Clinic Internal Medicine CurrentSince Jan 27, 2023 Accepting new patients
Scott and White Clinic Internal Medicine CurrentSince Jan 27, 2023 Accepting new patients
Hospitalist Medicine Physicians of Cortland County, PLLC Internal Medicine Past Accepting new patients
Hillcrest Physician Services Internal Medicine PastSince Feb 26, 2023 Accepting new patients
Scott & White Hospital - Taylor Past Accepting new patients
St Marys Physician Services, LLC Interventional Cardiology Past Accepting new patients

Locations

101 Skyline Dr
Russellville, AR 72801
Phone (479) 968-2345

1808 W Main St
Russellville, AR 72801
Phone (479) 964-4178

2205 W Main St
Russellville, AR 72801
Phone (479) 890-2654

101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

2401 S 31st St
#200
Temple, TX 76508
Phone (254) 215-0100

50 Hillcrest Medical Blvd
Ste 303
Waco, TX 76712
Phone (254) 202-0480

Interoperability endpoints

  • Direct secure messaging: sprayaga1154846@direct.sw.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1487699864",
    "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": "800-994-0371",
            "fax_number": "254-215-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 HILLCREST MEDICAL BLVD",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767128952",
            "telephone_number": "254-202-7204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2205 W Main St",
            "address_purpose": "LOCATION",
            "city": "Russellville",
            "state": "AR",
            "postal_code": "728012759",
            "country_code": "US",
            "telephone_number": "479-968-4311",
            "fax_number": "479-968-4399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRAYAGA",
        "first_name": "VENKATA SUBRAHMANYA",
        "middle_name": "SASTRY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "U1747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02570501",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176975001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.