Individual provider Active NPI

Naresh Venkat Desireddi, MD

  • Urology Physician
  • Lakeway, TX
National Provider Identifier
1548390909
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
N3009 Issued in TX
Practice address
101 Medical Pkwy Ste 200
Lakeway, TX 78738-5647
Phone
(512) 263-0300
Fax
(512) 263-0316
NPI assigned
Mar 6, 2007
Last updated
Sep 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X N3009 TX Primary

Addresses

Primary practice location

101 Medical Pkwy Ste 200
Lakeway, TX 78738-5647

Mailing address

8240 N Mopac Expy Ste 100
Austin, TX 78759-8869
Phone (512) 687-1950

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
I20091026000703 TX Practitioner - Urology 7214009984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Baylor College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urology Austin PLLCGroup PAC ID 7810087905, 59 clinicians

Practice addresses (Care Compare)

101 Medical Pkwy
Suite 200
Lakeway, TX 78738-5647
Phone (512) 788-9688

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.2 of 100Reported as group
Promoting interoperability
92
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection14
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N3009TXMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Austin, PLLC Urology CurrentSince Sep 27, 2009 Accepting new patients
Urology Austin PLLC Urology CurrentSince Sep 27, 2009 Accepting new patients

Locations

1020 W 34th St
Austin, TX 78705
Phone (512) 687-1950

8240 N Mopac Expy
Ste 100
Austin, TX 78759
Phone (512) 687-1950

8701 N Mopac Expy
Ste 100
Austin, TX 78759
Phone (737) 241-2184

8701 N Mopac Expy
Ste 200
Austin, TX 78759
Phone (512) 256-3000

3101 Highway 71 E
Ste 210A
Bastrop, TX 78602

13830 Sawyer Ranch Rd
Ste 201
Dripping Springs, TX 78620
Phone (512) 607-6884

1180 Seton Pkwy
Ste 125
Kyle, TX 78640

101 Medical Pkwy
Ste 200
Lakeway, TX 78738
Phone (512) 206-2988

200 Medical Pkwy
Ste 350
Lakeway, TX 78738
Phone (512) 263-0300

Interoperability endpoints

  • Direct secure messaging: nareshdesireddi@uroaustin.medalliesdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1548390909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8240 N MOPAC EXPY STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598869",
            "telephone_number": "512-687-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MEDICAL PKWY STE 200",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787385647",
            "telephone_number": "512-263-0300",
            "fax_number": "512-263-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESIREDDI",
        "first_name": "NARESH",
        "middle_name": "VENKAT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "N3009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeway, TX

Sources for this page

Verify at the official NPI Registry.