Individual provider Active NPI

Srujana Pachigolla, MD,BS

  • Internal Medicine Physician
  • West Lake Hills, TX
National Provider Identifier
1962714469
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
U2405 Issued in TX
Practice address
1250 S Capital of Texas Hwy
West Lake Hills, TX 78746-6446
Phone
(512) 334-2400
Fax
(512) 334-2491
NPI assigned
Jul 13, 2010
Last updated
Nov 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X U2405 TX Primary
Internal Medicine Physician 207R00000X 0101262003 VA
Internal Medicine Physician 207R00000X 8879 SD

Addresses

Primary practice location

1250 S Capital of Texas Hwy
West Lake Hills, TX 78746-6446

Mailing address

1250 S Capital of Texas Hwy Ste 100
West Lake Hills, TX 78746-6446
Phone (512) 901-4005

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
I20230912004376 TX Practitioner - EndocrinologyPractitioner - Internal Medicine 8325282536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

12221 N Mopac Expy
Austin, TX 78758-2401
Phone (512) 901-2530

1250 S Capital of Texas Hwy
West Lake Hills, TX 78746-6446
Phone (512) 901-4487

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.41 of 100Reported as group
Quality
64.52
Promoting interoperability
100
Improvement activities
40
Cost
73.52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8879SDMDInternal Medicine Physician
U2405TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Austin Diagnostic Clinic, PLLC CurrentSince Oct 1, 2023 Accepting new patients
The Austin Diagnostic Clinic, PLLC Current Accepting new patients
Austin Diagnostic Clinic CurrentSince Oct 1, 2023 Accepting new patients
The Austin Diagnostic Clinic, PLLC PastSince Dec 3, 2023 Accepting new patients
Austin Diagnostic Clinic, PA Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

1250 S Capital of Texas Hwy
West Lake Hills, TX 78746
Phone (512) 334-2403

1250 S Capital of Texas Hwy
Bldg 100
West Lake Hills, TX 78746
Phone (913) 669-3321

Interoperability endpoints

  • Direct secure messaging: srujana.pachigolla@hca8.eclinicaldirectplus.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, 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": "1278979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1962714469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 S CAPITAL OF TEXAS HWY STE 100",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466446",
            "telephone_number": "512-901-4005",
            "fax_number": "512-334-2491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 S CAPITAL OF TEXAS HWY",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466446",
            "telephone_number": "512-334-2400",
            "fax_number": "512-334-2491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHIGOLLA",
        "first_name": "SRUJANA",
        "credential": "MD,BS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-13",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "U2405",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101262003",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SD",
            "license": "8879",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

Verify at the official NPI Registry.