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SOUMYA LAKSHMI POLAVARAPU DO
NPI 1093403438
Family Medicine - Sports Medicine in Austin, TX

Active since April 25, 2023PECOS Enrolled
2901 MONTOPOLIS DR, AUSTIN, TX 78741(512) 978-9901 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Soumya Lakshmi Polavarapu Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUMYA LAKSHMI POLAVARAPU DO (NPI 1093403438) is an individual sports medicine provider in Austin, Texas, licensed in Texas (823271) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093403438
Entity TypeIndividualFemale
Primary Taxonomy207QS0010X
Provider Legal NameSOUMYA LAKSHMI POLAVARAPUCredential: DO
Location Address2901 MONTOPOLIS DRAustin, TX 78741-6411
Mailing Address1501 Red River St Fl 2Austin, TX 78712-1845 · (512) 495-5555
Phone(512) 978-9901
Sole ProprietorYes
Enumeration DateApril 25, 2023
Last NPPES UpdateJune 26, 2026
NPPES CertifiedJune 26, 2026
✔ NPI 1093403438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in TX · 823271
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
2901 MONTOPOLIS DR, Austin, TX 78741
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Soumya Lakshmi Polavarapu Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78741 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOE B LUTHER MA, LCDC
Counselor (Addiction (Substance Use Disorder))
2901 MONTOPOLIS DR
AUSTIN, TX 78741
Travis County (512) 389-6503
BRANDON SHAUN ALLPORT ALTILLO MD, MPH
Internal Medicine
2901 MONTOPOLIS DR
AUSTIN, TX 78741
Travis County (512) 978-9901
DR. JACQUELINE ALPHEUS DAVIS MD
Family Medicine
2901 MONTOPOLIS DR
AUSTIN, TX 78741
Travis County (512) 389-1010
DR. JOHN DAVID FISHER MD
Ophthalmology
2901 MONTOPOLIS DR
AUSTIN, TX 78741
Travis County (512) 389-6571
DOMINIQUE ANN LAWRENCE P.A.-C
Physician Assistant (Medical)
2901 MONTOPOLIS DR
AUSTIN, TX 78741
Travis County (512) 978-9901
MRS. MIKAYLA ANN GORE PRYOR RN
Registered Nurse (Case Management)
2901 MONTOPOLIS DR
AUSTIN, TX 78741
Travis County (512) 716-7567
DR. WILLIAM A RICKS D.D.S.
Dentist (General Practice)
2901 MONTOPOLIS DR
AUSTIN, TX 78741
Travis County (512) 389-6529
MATTHEW GARRETT R.PH.
Pharmacist
2901 MONTOPOLIS DR
AUSTIN, TX 78741
Travis County (512) 389-6510

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Soumya Polavarapu's NPI number?

The NPI number for Soumya Polavarapu is 1093403438. It was assigned to this individual provider in the NPPES registry on April 25, 2023.

Where is Soumya Polavarapu located?

Soumya Polavarapu practices at 2901 Montopolis Dr, Austin, TX 78741. The listed phone number is (512) 978-9901.

What is Soumya Polavarapu's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Soumya Polavarapu enrolled in Medicare?

Yes. Soumya Polavarapu is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Soumya Polavarapu was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.