Active NPI
Srujana Pachigolla, MD,BS
- Internal Medicine Physician
- West Lake Hills, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- U2405
- 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, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- 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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 8879 | SD | MD | Internal Medicine Physician |
| U2405 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Austin Diagnostic Clinic, PLLC | Current | Accepting new patients | |
| The Austin Diagnostic Clinic, PLLC | Current | Accepting new patients | |
| Austin Diagnostic Clinic | Current | Accepting new patients | |
| The Austin Diagnostic Clinic, PLLC | Past | 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
- 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.
-
dba Austin Diagnostic Clinic
- Nephrology Physician
- Austin, TX
- NPI 1497729685
-
- Hospitalist Physician
- Austin, TX
- NPI 1972011658
-
- Anatomic Pathology & Clinical Pathology Physician
- Austin, TX
- NPI 1003259763
-
- Ambulatory Surgical Clinic/Center
- Austin, TX
- NPI 1619923950
-
- Cardiovascular Disease Physician
- Austin, TX
- NPI 1104803816
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba North Austin Medical Center
- General Acute Care Hospital
- Austin, TX
- NPI 1629021845
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.