Individual provider Active NPI

Srilatha Vellanki, MD

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1952346579
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L8995 Issued in TX
Practice address
6901 Snider PLZ
Suite 130
Dallas, TX 75205-5648
Phone
(972) 381-6690
Fax
(214) 361-2552
NPI assigned
Jun 18, 2006
Last updated
Nov 28, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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 L8995 TX Primary

Addresses

Primary practice location

6901 Snider PLZ
Suite 130
Dallas, TX 75205-5648

Mailing address

6901 Snider PLZ
Suite 130
Dallas, TX 75205-5648
Phone (972) 381-6690

Other identifiers 1

IdentifierTypeStateIssuer
8M5981OtherTXBC/BS

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
I20040719000721 TX Practitioner - Internal Medicine 0042299414 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Medicine Physicians of Texas - Burnet PLLCGroup PAC ID 1850831637, 76 clinicians

Practice addresses (Care Compare)

5016 S US Hwy 75
Texoma Medical Center
Denison, TX 75020-4584
Phone (903) 416-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L8995TXMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Texas - Burnet PLLC Internal Medicine CurrentSince Jul 24, 2024 Accepting new patients
Inpatient Physician Associates PLLC Internal Medicine CurrentSince Apr 1, 2004 Accepting new patients
Uhs of Texoma, Inc Past Accepting new patients

Locations

6901 Snider Plz
Ste 130
Dallas, TX 75205
Phone (972) 381-6690

5016 US Highway 75
Denison, TX 75020
Phone (855) 222-9637

3150 Horizon Rd
Rockwall, TX 75032
Phone (469) 697-1000

1498 Pacific Ave
Ste 500
Tacoma, WA 98402
Phone (253) 682-6040

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 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": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196208000000",
    "number": "1952346579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 SNIDER PLZ",
            "address_2": "SUITE 130",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752055648",
            "telephone_number": "972-381-6690",
            "fax_number": "214-361-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 SNIDER PLZ",
            "address_2": "SUITE 130",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752055648",
            "telephone_number": "972-381-6690",
            "fax_number": "214-361-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELLANKI",
        "first_name": "SRILATHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-18",
        "last_updated": "2007-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L8995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "8M5981",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.