Individual provider Active NPI

Sireesha Gogineni, M.D

  • Critical Care Medicine (Internal Medicine) Physician
  • Austin, TX
National Provider Identifier
1801974423
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
N3049 Issued in TX
Practice address
5920 W William Cannon Dr Ste 110
Austin, TX 78749-1902
Phone
(512) 829-1137
Fax
(512) 727-7628
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X N3049 TX
Sleep Medicine (Internal Medicine) Physician 207RS0012X N3049 TX
Critical Care Medicine (Internal Medicine) Physician 207RC0200X N3049 TX Primary

Addresses

Primary practice location

5920 W William Cannon Dr Ste 110
Austin, TX 78749-1902

Mailing address

5920 W William Cannon Dr Ste 110
Austin, TX 78749-1902
Phone (512) 829-1137

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
I20090928000489 TX Practitioner - Pulmonary DiseasePractitioner - Other (Physician)Practitioner - Critical Care (Intensivists) 8921064262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5920 W William Cannon Dr
BLDG 6
Austin, TX 78749-2037
Phone (512) 653-6911

Merit-based Incentive Payment System (MIPS)

Final score
56.54 of 100Reported as individual
Quality
95.26
Improvement activities
0
Cost
61.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N3049TXMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Abc Sleep PLLC Critical Care Medicine CurrentSince Aug 30, 2019 Accepting new patients
Advanced Sleep Centers Inc CurrentSince Sep 18, 2013 Accepting new patients
Austin Critical Care Specialists PA Critical Care Medicine Past Accepting new patients
Hays Pulmonary & Sleep Associates, P.L.L.C. Pulmonary Disease Past Accepting new patients
Austin Critical Care Specialists PA Critical Care Medicine Past Accepting new patients

Locations

5920 W William Cannon Dr
Ste 110
Austin, TX 78749
Phone (512) 829-1137

3600 W Parmer Ln
Ste 108
Austin, TX 78727
Phone (512) 238-7777

3600 W Parmer Ln
Ste 106
Austin, TX 78727
Phone (512) 441-9799

3200 Steck Ave
Ste 220
Austin, TX 78757
Phone (512) 238-7777

5920 W William Cannon Dr
Bldg 6
Austin, TX 78749
Phone (512) 336-8909

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

3736 Bee Caves Rd
Ste 1154
West Lake Hills, TX 78746

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1801974423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5920 W WILLIAM CANNON DR STE 110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787491902",
            "telephone_number": "512-829-1137",
            "fax_number": "512-727-7628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 W WILLIAM CANNON DR STE 110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787491902",
            "telephone_number": "512-829-1137",
            "fax_number": "512-727-7628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOGINENI",
        "first_name": "SIREESHA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "N3049",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "TX",
            "license": "N3049",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "N3049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.