Sangeetha Dayalan, M.D.
Individual provider Active NPI Internal Medicine Physician · Georgetown, TX
NPI 1982880902 · NPPES record last updated Jan 11, 2021
Key facts
- NPI
- 1982880902
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- P8881 (TX)
- Practice address
- 4945 Williams Dr
Georgetown, TX 78633-2008 - Phone
- (512) 819-0500
- NPI assigned
- Jan 22, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Missouri, Kansas City, School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Scott and White Clinic
Scott and White Hospital - Marble Falls
Practice addresses (Care Compare)
1300 E Polk St
Baylor Scott and White Clinic Burnet
Burnet, TX 78611-2136
Phone (512) 715-6400
1605 S 31St St
Baylor Scott and White Center for Dia
Temple, TX 76508-0001
Phone (254) 215-0100
239 W Business
190 Baylor Scott and White Clinic Coppe
Copperas Cove, TX 76522-2912
Phone (254) 542-9000
2401 S 31 St
Temple, TX 76508-0001
Phone (254) 724-2459
2401 S 31St St BLDG
35 Baylor Scott and White Roney Bone and
Temple, TX 76508-0001
Phone (254) 724-2663
4945 Williams Dr
Baylor Scott and White Clinic Georg
Georgetown, TX 78633-2008
Phone (512) 819-0500
706 Ave G
Marble Falls, TX 78654-5866
Phone (830) 201-8900
7451 W State Hwy 29
Baylor Scott and White Clinic Georg
Georgetown, TX 78628-6849
Phone (512) 509-8700
810 W U Ave
Temple, TX 76508-0001
Phone (254) 724-2585
Hospital & facility affiliations
- Accentcare Health
- Accentcare Home Health of Taylor
- Baylor Scott & White Medical Center - Round Rock
- Baylor Scott & White Medical Center - Temple
- Baylor Scott & White Medical Center Pflugerville
- St David'S Medical Center
- Baylor Scott & White Medical Center - Marble Falls
- Baylor Scott & White Institute for Rehabilitation
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140430000343 | TX | Practitioner - Internal Medicine | 5890831515 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2047 | GA | MD | Internal Medicine Physician |
| P8881 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott & White Clinic | Internal Medicine | Current |
Accepting new patients |
| Scott & White Clinic | Internal Medicine | Current |
Accepting new patients |
| Wellstar Medical Group, LLC | Internal Medicine | Past | Accepting new patients |
| Scott & White Hospital - Taylor | Past | Accepting new patients |
Locations
101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100
4945 Williams Dr
Georgetown, TX 78633
Phone (512) 819-0500
2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459
Interoperability endpoints
- sdayalan47120@direct.sw.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2047 | GA | |
| Internal Medicine Physician | 207R00000X | P8881 | TX | Yes |
Addresses
Primary practice location
4945 Williams Dr
Georgetown, TX 78633-2008
Mailing address
PO Box 844658
Dallas, TX 75284-4658
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 062328 | Other | GA | COMPOSITE STATE BOARD OF MEDICAL EXAMINERS |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sdayalan47120@direct.sw.org | Direct |
Other providers in Georgetown, TX
- Darush Rahmani, D.O., P.a.
- Swapnila S Das
- Laney Kate Davidson
- Carina Davis
- Della Davis
- Nayeli De Hoyos
- Bethany Dean
- Deborah L Bland LCSW PLLC
- Deep Tides Therapy PLLC
- Laura Elaine Defreitas
All providers in Georgetown, TX · Internal Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.