SOUMYA DATTANAGOWDA DANDOTHI MD
NPI 1306519822
Internal Medicine in Austin, TX

Q: What is Soumya Dattanagowda Dandothi's NPI number?

The NPI number for Soumya Dattanagowda Dandothi is 1306519822. It was assigned to this individual provider in the NPPES registry on July 29, 2021.

Q: What is Soumya Dattanagowda Dandothi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since July 29, 2021PECOS EnrolledAccepts Medicare Assignment

3000 OAK SPRINGS DR, AUSTIN, TX 78702(877) 800-5722 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 27, 2025, Oct 3, 2024, Jul 29, 2021 (3 updates tracked since 2021).

On this page

About Soumya Dattanagowda Dandothi Md NPPES

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

SOUMYA DATTANAGOWDA DANDOTHI MD (NPI 1306519822) is an individual internal medicine provider in Austin, Texas, licensed in Texas (V2050) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Brooklyn, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1306519822

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameSOUMYA DATTANAGOWDA DANDOTHICredential: MD

Location Address3000 OAK SPRINGS DRAustin, TX 78702-2537

Mailing Address2423 Williams Dr Ste 107Georgetown, TX 78628-3269 · (877) 800-5722

Phone(877) 800-5722

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJuly 29, 2021

Last NPPES UpdateJune 27, 20253 updates tracked since enumeration

NPPES CertifiedJune 27, 2025

✔ NPI 1306519822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in TX · V2050

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3000 OAK SPRINGS DR, Austin, TX 78702

Open in Google Maps ↗

Secondary Practice Location 1

Location 1450 Clarkson Ave # Msc50Brooklyn, NY 11203-2012 · Phone (718) 270-1566

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Soumya Dattanagowda Dandothi Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315470457

PECOS Enrollment IDI20241029001495

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 78702 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

$131.95 typical visit price

range $57.88 – $174.00

Typical copayment $32.98 (range $14.47 – $43.50)

Most-billed visit code 99204

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.

Leave this field empty

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.

KATHRYN METTMAN PMHNP

Nurse Practitioner (Psychiatric/Mental Health)