Individual provider Active NPI

Sooraj Tejaswi, M.D., M.S.P.H.

  • Gastroenterology Physician
  • Cedar Park, TX
National Provider Identifier
1932425782
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A111161 Issued in CA
Practice address
1411 Medical Pkwy Ste 200
Cedar Park, TX 78613-2778
Phone
(512) 341-0900
Fax
(512) 341-2895
NPI assigned
Apr 18, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A111161 CA Primary

Addresses

Primary practice location

1411 Medical Pkwy Ste 200
Cedar Park, TX 78613-2778

Mailing address

213 Selby Ranch Rd
Unit 1
Sacramento, CA 95864-5822

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
I20221101002731 TX Practitioner - GastroenterologyPractitioner - Internal Medicine 4789709718 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians

Practice addresses (Care Compare)

1101 Wolf Lake Dr
Georgetown, TX 78628-3778

1400 N Ih 35
Austin, TX 78701-1926

1400 N Ih 35 LL
Cl400 Tri County Prac Assoc
Austin, TX 78701-1926
Phone (512) 324-7300

2000 Scenic Dr
Georgetown, TX 78626-7726
Phone (512) 943-3000

201 Seton Pkwy
Round Rock, TX 78665-8000
Phone (512) 324-4000

301 Seton Pkwy
Round Rock, TX 78665-8003

6001 Kyle Pkwy
Kyle, TX 78640-6112
Phone (512) 504-5000

Hospital & facility affiliations

  • Ascension Seton Williamson Hospital, Round Rock, TX, CCN 670041

Merit-based Incentive Payment System (MIPS)

Final score
80.98 of 100Reported as group
Quality
66.51
Promoting interoperability
98
Improvement activities
40
Cost
71.76

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy80
Upper gastrointestinal (GI) endoscopy for acid reflux91

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Digestive Disease Consultants, PLLC Gastroenterology CurrentSince Dec 1, 2022 Accepting new patients
Seton Family of Doctors CurrentSince Jan 1, 2025 Accepting new patients
Texas Digestive Disease Consultants PLLC Gastroenterology CurrentSince Dec 1, 2022 Accepting new patients
Seton Family of Doctors CurrentSince Jan 1, 2025 Accepting new patients
Texas Digestive Disease Consultants, PLLC Gastroenterology Current Accepting new patients

Locations

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

1411 Medical Pkwy
Ste 200
Cedar Park, TX 78613
Phone (512) 551-3490

801 E Whitestone Blvd
Ste 201
Cedar Park, TX 78613
Phone 5123410900 ext. 21442

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

5425 W Spring Creek Pkwy
Ste 205
Plano, TX 75024
Phone (972) 526-5860

301 Seton Pkwy
Ste 103
Round Rock, TX 78665
Phone (512) 324-4815

Interoperability endpoints

  • Direct secure messaging: stejaswi1138344@ahs.direct-ci.com
  • Direct secure messaging: sooraj.tejaswi.1@8363.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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1271548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1932425782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 SELBY RANCH RD",
            "address_2": "UNIT 1",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958645822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 MEDICAL PKWY STE 200",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132778",
            "telephone_number": "512-341-0900",
            "fax_number": "512-341-2895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEJASWI",
        "first_name": "SOORAJ",
        "credential": "M.D., M.S.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-18",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A111161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

Verify at the official NPI Registry.