Individual provider Active NPI

Srihari R. Vegiraju, MD

  • Internal Medicine Physician
  • Austin, TX
National Provider Identifier
1710017488
Registry record updated Jul 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M1394 Issued in TX
Practice address
3708 Jefferson St
Ste a
Austin, TX 78731-6206
Phone
(512) 459-6503
Fax
(512) 454-7453
NPI assigned
Mar 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M1394 TX Primary

Addresses

Primary practice location

3708 Jefferson St
Ste a
Austin, TX 78731-6206

Mailing address

3708 Jefferson St
Ste a
Austin, TX 78731-6206
Phone (512) 459-6503

Other identifiers 2

IdentifierTypeStateIssuer
TXB153427OtherWELLMED MEDICAL GROUP PA
TXB155619OtherWELLMED NETWORKS INC

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
I20050915001166 TX Practitioner - Internal MedicinePractitioner - Geriatric Medicine 8628001047 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmed Networks, Inc.Group PAC ID 6002091261, 116 clinicians

Practice addresses (Care Compare)

4330 Medical Dr
Suite 500
San Antonio, TX 78229-3318
Phone (210) 558-0122

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, PA Internal Medicine CurrentSince Apr 18, 2012 Accepting new patients
Wellmed Medical Group, P.a. Internal Medicine CurrentSince Apr 18, 2012 Accepting new patients
Wellmed Networks, Inc. CurrentSince Jun 12, 2012 Accepting new patients

Locations

13376 Research Blvd
Ste 110
Austin, TX 78750
Phone (512) 219-0129

3708 Jefferson St
Ste A
Austin, TX 78731
Phone (512) 459-6503

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

4330 Medical Dr
Ste 500
San Antonio, TX 78229
Phone (210) 558-0122

Interoperability endpoints

  • Direct secure messaging: srihari.vegiraju@wellmed.eclinicaldirectplus.com

Organizations & group practices 3

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.

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": "1437350400000",
    "number": "1710017488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3708 JEFFERSON ST",
            "address_2": "STE A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316206",
            "telephone_number": "512-459-6503",
            "fax_number": "512-454-7453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3708 JEFFERSON ST",
            "address_2": "STE A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316206",
            "telephone_number": "512-459-6503",
            "fax_number": "512-454-7453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGIRAJU",
        "first_name": "SRIHARI",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2015-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M1394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMED MEDICAL GROUP PA",
            "identifier": "TXB153427",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMED NETWORKS INC",
            "identifier": "TXB155619",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.