Active NPI
Sangeetha Lakshmi Kolluri, DO
- Surgical Oncology Physician
- West Lake Hills, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Oncology Physician
- License
- Q5682
- Practice address
- 4613 Bee Caves Rd Ste 102
West Lake Hills, TX 78746-5206 - Phone
- (512) 862-1881
- Fax
- (512) 862-2433
- NPI assigned
- Jun 27, 2010
- Last updated
- Jan 29, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Q5682 | TX | |
| Surgical Oncology Physician | 2086X0206X | Q5682 | TX | Primary |
Addresses
Primary practice location
4613 Bee Caves Rd Ste 102
West Lake Hills, TX 78746-5206
Mailing address
4613 Bee Caves Rd Ste 102
West Lake Hills, TX 78746-5206
Phone (512) 862-1881
Other practice location 1
1180 Seton Pkwy
Ste 320
Kyle, TX 78640-6319
Phone (512) 862-1881
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 360601401 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Surgical Oncology
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4613 Bee Caves Rd
Suite 102
West Lake Hills, TX 78746-5206
Phone (512) 862-1881
Hospital & facility affiliations
- Baylor Scott & White Medical Center - Round Rock
- Baylor Scott & White Medical Center- Austin
- Ascension Seton Hays
- St David's Medical Center
- Ascension Seton Medical Center Austin
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 30 |
| Melanoma (skin cancer) excision | 18 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wildflower Breast Center, PLLC | Surgical Oncology | Current | Accepting new patients |
| Texas Oncology PA | Surgery | Current | Accepting new patients |
| Central Texas Medical Specialists PLLC | Surgery | Current | Accepting new patients |
| Central Texas Medical Specialists, PLLC | Current | Accepting new patients | |
| Texas Oncology PA | Surgery | Current | Accepting new patients |
Locations
2121 Lohmans Crossing Rd
Ste 504714
Austin, TX 78734
2600 E Mlk Blvd
Austin, TX 78702
Phone (512) 505-5571
2911 Medical Arts St
Ste 3
Austin, TX 78705
Phone (512) 391-0175
900 E 30th St
Ste 100
Austin, TX 78705
Phone (512) 334-2777
9715 Burnet Rd
Ste 200
Austin, TX 78758
Phone (512) 334-2866
7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313
2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500
1180 Seton Pkwy
Ste 320
Kyle, TX 78640
Phone (512) 651-0702
1300 Dacy Ln
Ste 250
Kyle, TX 78640
Phone (512) 862-1881
2130 NE Loop 410
Ste 100
San Antonio, TX 78217
Phone (210) 242-6541
4613 Bee Caves Rd
Ste 102
West Lake Hills, TX 78746
Phone (512) 448-0900
Interoperability endpoints
- sangeetha.kolluri.1@28614.direct.athenahealth.com
Organizations & group practices 5
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.
-
dba Wildflower Breast Center
- Surgical Oncology Physician
- West Lake Hills, TX
- NPI 1104553494
-
dba Austin Cancer Center
- Radiation Oncology Physician
- Austin, TX
- NPI 1821069014
Surgery
-
dba Austin Cancer Center
- Community/Retail Pharmacy
- Austin, TX
- NPI 1871945691
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ascension Seton Medical Center Austin
- General Acute Care Hospital
- Austin, TX
- NPI 1164526786
-
dba Baylor Scott & White Medical Center - Austin
- General Acute Care Hospital
- Austin, TX
- NPI 1902366305
-
dba Baylor Scott & White Medical Center - Round Rock
- General Acute Care Hospital
- Round Rock, TX
- NPI 1265568638
-
dba Heart Hospital of Austin
- General Acute Care Hospital
- Austin, TX
- NPI 1720033947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769644800000",
"number": "1790096543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4613 BEE CAVES RD STE 102",
"city": "WEST LAKE HILLS",
"state": "TX",
"postal_code": "787465206",
"telephone_number": "512-862-1881",
"fax_number": "512-862-2433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4613 BEE CAVES RD STE 102",
"city": "WEST LAKE HILLS",
"state": "TX",
"postal_code": "787465206",
"telephone_number": "512-862-1881",
"fax_number": "512-862-2433"
}
],
"practiceLocations": [
{
"address_1": "1180 Seton Pkwy",
"address_2": "Ste 320",
"address_purpose": "LOCATION",
"city": "Kyle",
"state": "TX",
"postal_code": "786406319",
"country_code": "US",
"telephone_number": "512-862-1881",
"fax_number": "512-862-2433",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOLLURI",
"first_name": "SANGEETHA",
"middle_name": "LAKSHMI",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-27",
"last_updated": "2026-01-29",
"certification_date": "2026-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "Q5682",
"primary": false
},
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "TX",
"license": "Q5682",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "360601401",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Lake Hills, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.