NPIMap

Individual provider Active NPI

Vinaya Potluri, M.D.

  • Hematology & Oncology Physician
  • Burleson, TX
National Provider Identifier
1881647493
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
L8165 Issued in TX
Practice address
11805 South Fwy Ste 201
Burleson, TX 76028-7220
Phone
(817) 551-5312
NPI assigned
May 18, 2006
Last updated
Feb 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X L8165 TX Primary

Addresses

Primary practice location

11805 South Fwy Ste 201
Burleson, TX 76028-7220

Mailing address

PO Box 164009
Fort Worth, TX 76161-4009
Phone (817) 759-7000

Other identifiers 2

IdentifierTypeStateIssuer
1795346-02MedicaidTX
1795346-01MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vpotluri@txcc.OncoEMRDirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060331000504 TX Practitioner - Hematology/Oncology 5294743217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

6100 Harris Pkwy
Suite 235
Fort Worth, TX 76132-4126
Phone (817) 759-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.82 of 100Reported as group
Promoting interoperability
94
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology Hematology Consultants, PA CurrentSince Feb 1, 2006 Accepting new patients
Oncology-Hematology Consultants PA Hematology & Oncology Current Accepting new patients
Oncology-Hematology Consultants PA Hematology & Oncology CurrentSince Feb 1, 2006 Accepting new patients

Locations

11801 South Fwy
Ste 101
Burleson, TX 76028
Phone (817) 717-5691

11805 South Fwy
Ste 201
Burleson, TX 76028
Phone (817) 551-5312

6100 Harris Pkwy
Ste 235
Fort Worth, TX 76132
Phone (817) 263-7200

6100 Harris Pkwy
Ft Worth, TX 76132
Phone (817) 346-5000

800 W Magnolia Ave
Ft Worth, TX 76104
Phone (817) 333-0133

816 W Cannon St
Ft Worth, TX 76104
Phone (817) 321-0312

400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891

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

Hospital & facility affiliations 7

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1881647493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 164009",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761614009",
            "telephone_number": "817-759-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11805 SOUTH FWY STE 201",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760287220",
            "telephone_number": "817-551-5312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTLURI",
        "first_name": "VINAYA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TX",
            "license": "L8165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1795346-02",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1795346-01",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vpotluri@txcc.OncoEMRDirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "11805 South Fwy Ste 201",
            "city": "Burleson",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760287220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burleson, TX

Sources for this page

Verify at the official NPI Registry.