Pawarissara Osathanugrah

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

W1076 Issued in TX

Practice address

2600 E Pflugerville Pkwy BLDG 2
Pflugerville, TX 78660-5998

Phone

(512) 654-6500

Fax

(512) 654-6501

NPI assigned

Apr 2, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL, 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

Specialty

Ophthalmology

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Health First Physician Specialties IncGroup PAC ID 9537229646, 58 clinicians

Scott and White ClinicGroup PAC ID 8123923604, 2,426 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baylor Scott & White Medical Center Pflugerville Hospital, Pflugerville, TX, CCN 670128

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: posathanugrah@vippbec.intellechartdirect.net
• Direct secure messaging: posthanugrah159123@epicdirect.hf.org
• Direct secure messaging: posathanugrah@ckec.intellechartdirect.net

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.

• Scott & White Clinic

  • Internal Medicine Physician
  • Temple, TX
  • NPI 1093779704

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Health First Physician Specialties Inc

  • Orthopaedic Trauma Physician
  • Melbourne, FL
  • NPI 1336390020

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Bedotto Wallace Clewner & Kelly, MD, PA

  • Ophthalmology Physician
  • Boca Raton, FL
  • NPI 1285654723

  Multi-Specialty

  Medicare reassignment NPD
• Palm Beach Eye Center Inc

  • Ophthalmology Physician
  • Lake Worth, FL
  • NPI 1497753305

  Multi-Specialty

  Medicare reassignment NPD
• Scott & White Clinic

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1649820796

  Multi-Specialty

  NPD
• Scott & White Hospital - Taylor

  • Emergency Medicine Physician
  • Taylor, TX
  • NPI 1659366557

  Multi-Specialty

  NPD (past)
• Palm Beach Eye Center Inc

  • Ophthalmology Physician
  • Delray Beach, FL
  • NPI 1912568387

  Multi-Specialty

  NPD (past)
• Suncoast Retina Consultants, LLC

  • Ophthalmology Physician
  • Hudson, FL
  • NPI 1730233388

  Multi-Specialty

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baylor Scott & White Medical Centers - Capitol Area

  • General Acute Care Hospital
  • Pflugerville, TX
  • NPI 1346729159
  Care Compare affiliation

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1679102669",
    "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": "2600 E PFLUGERVILLE PKWY BLDG 2",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786605998",
            "telephone_number": "512-654-6500",
            "fax_number": "512-654-6501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "85 E Concord St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021182335",
            "country_code": "US",
            "telephone_number": "617-414-4020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1350 Hickory St",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329013224",
            "country_code": "US",
            "telephone_number": "321-434-1401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSATHANUGRAH",
        "first_name": "PAWARISSARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-02",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME166255",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "W1076",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "284761",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128267600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HFMG",
            "identifier": "V5309",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "posathanugrah1499001@direct.sw.org",
            "affiliation": "N",
            "endpointDescription": "posathanugrah1499001@direct.sw.org",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2600 E Pflugerville Pkwy Bldg 2",
            "city": "Pflugerville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786605998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Ophthalmology Physician in Pflugerville, TX
• Providers in Pflugerville, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; 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.

Verify at the official NPI Registry.