Individual provider Active NPI

Krishna Surapaneni, MD

  • Diagnostic Radiology Physician
  • Austin, TX
National Provider Identifier
1952540700
Registry record updated Sep 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
R8997 Issued in TX
Practice address
12554 Riata Vista Cir
Austin, TX 78727-6431
Phone
(512) 795-5100
Fax
(512) 795-5122
NPI assigned
Feb 18, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD450030 PA
Diagnostic Radiology Physician 2085R0202X R8997 TX Primary

Addresses

Primary practice location

12554 Riata Vista Cir
Austin, TX 78727-6431

Mailing address

12554 Riata Vista Cir
Austin, TX 78727-6431
Phone (512) 795-5100

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
I20180925004134 TX Practitioner - Diagnostic Radiology 6406039809 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Austin Radiological AssociationGroup PAC ID 4880686179, 126 clinicians
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians

Practice addresses (Care Compare)

1348 N Hwy 123
Suite B
San Marcos, TX 78666-7848
Phone (512) 392-1831

2400 Round Rock Ave
Round Rock, TX 78681-4004
Phone (713) 461-3573

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ara/St. David'S Imaging, LP CurrentSince Oct 1, 2018 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
Ara/St. David'S Imaging, LP CurrentSince Oct 1, 2018 Accepting new patients
Austin Radiological Association CurrentSince Sep 24, 2018 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
Ara/St. David'S Imaging, LP CurrentSince Oct 1, 2018 Accepting new patients
Ara/St. David'S Imaging, LP CurrentSince Oct 1, 2018 Accepting new patients
Austin Radiological Association CurrentSince Sep 24, 2018 Accepting new patients

Locations

901 W 38th St
Ste 100
Austin, TX 78705
Phone (512) 519-3462

11714 Wilson Parke Ave
Ste 175
Austin, TX 78726
Phone (512) 519-3457

1301 W 38th St
Ste 118
Austin, TX 78705
Phone (512) 454-7380

4515 Seton Center Pkwy
Ste 105
Austin, TX 78759
Phone (512) 519-3402

2501 W William Cannon Dr
Bldg 5
Austin, TX 78745
Phone (512) 346-7311

6818 Austin Center Blvd
Ste 101
Austin, TX 78731
Phone (512) 794-8505

1301 Barbara Jordan Blvd
Ste 104
Austin, TX 78723
Phone (512) 480-0761

5625 Eiger Rd
Ste 165
Austin, TX 78735
Phone (512) 519-3474

12554 Riata Vista Cir
Austin, TX 78727
Phone (512) 519-3462

1701 W Ben White Blvd
Ste 170
Austin, TX 78704
Phone (512) 428-9090

12800 W Parmer Ln
Ste 200
Cedar Park, TX 78613
Phone (512) 485-7199

170 Benney Ln
Ste 101
Dripping Springs, TX 78620
Phone (512) 776-1176

2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117

3201 S Austin Ave
Ste 105
Georgetown, TX 78626
Phone (512) 863-4648

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

6720 Bertner Ave
#2270
Houston, TX 77030
Phone (832) 355-4092

6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092

4211 Benner
Ste 100
Kyle, TX 78640
Phone (512) 776-1150

12700 Lexington St
Unit 300
Manor, TX 78653
Phone (512) 776-1158

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

2120 N Mays St
Ste 220
Round Rock, TX 78664
Phone (512) 238-7195

1348 N State Highway 123
Ste B
San Marcos, TX 78666
Phone (512) 392-1831

5656 Bee Caves Rd
Ste H200
West Lake Hills, TX 78746
Phone (512) 451-7407

Organizations & group practices 8

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 5

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": "1234915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1952540700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12554 RIATA VISTA CIR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787276431",
            "telephone_number": "512-795-5100",
            "fax_number": "512-795-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12554 RIATA VISTA CIR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787276431",
            "telephone_number": "512-795-5100",
            "fax_number": "512-795-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURAPANENI",
        "first_name": "KRISHNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-18",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD450030",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "R8997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.