Individual provider Active NPI

Sushil Duddempudi, MD

  • Gastroenterology Physician
  • Round Rock, TX
National Provider Identifier
1518158427
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
N1309 Issued in TX
Practice address
7200 Wyoming Springs Dr Ste 1300
Round Rock, TX 78681-4306
Phone
(512) 244-2273
Fax
(512) 244-3179
NPI assigned
Aug 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X N1309 TX Primary

Addresses

Primary practice location

7200 Wyoming Springs Dr Ste 1300
Round Rock, TX 78681-4306

Mailing address

PO Box 10597
Austin, TX 78766-1597
Phone (512) 485-5889

Other identifiers 2

IdentifierTypeStateIssuer
204471104MedicaidTX
204471103MedicaidTX

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
I20090728000915 TX Practitioner - Gastroenterology 2567533763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Austin Gastroenterology PLLCGroup PAC ID 9739174954, 75 clinicians

Practice addresses (Care Compare)

7200 Wyoming Springs Dr
Suite 1300
Round Rock, TX 78681-4306
Phone (512) 244-2273

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.02 of 100Reported as group
Quality
57.89
Promoting interoperability
96
Improvement activities
40
Cost
78.84

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy176
Upper gastrointestinal (GI) endoscopy for acid reflux262

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Gastroenterology PA CurrentSince May 1, 2017 Accepting new patients
Austin Gastroenterology, PLLC Gastroenterology CurrentSince May 1, 2017 Accepting new patients
Jerome H Siegel MDPC Gastroenterology PastSince Jul 1, 2007 Accepting new patients
Wyckoff Medical Services, P C Internal Medicine Past Accepting new patients
Jerome H Siegel MDPC Past Accepting new patients
TBHC Physician Services PC Gastroenterology Past Accepting new patients

Locations

7951 Shoal Creek Blvd
Ste 200
Austin, TX 78757
Phone (512) 454-4588

8015 Shoal Creek Blvd
Ste 118
Austin, TX 78757
Phone (512) 485-5890

1401 Medical Pkwy
Ste 211
Cedar Park, TX 78613
Phone (512) 260-1581

1361 Hero Way
Ste 100
Leander, TX 78641
Phone (512) 371-1519

7200 Wyoming Springs Dr
Ste 1300
Round Rock, TX 78681

Interoperability endpoints

  • FHIR API: https://f1c3b871-8724-4a21-b291-f8f62dcb574b.gastro.prod.fhir.ema-api.com/fhir/r4/

Organizations & group practices 6

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": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1518158427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10597",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787661597",
            "telephone_number": "512-485-5889",
            "fax_number": "512-420-0397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 WYOMING SPRINGS DR STE 1300",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814306",
            "telephone_number": "512-244-2273",
            "fax_number": "512-244-3179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDDEMPUDI",
        "first_name": "SUSHIL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-06",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "N1309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204471104",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204471103",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.