SUNEEL K VALLABHANENI M.D.
NPI 1932307097
Internal Medicine in Round Rock, TX

Active since July 10, 2007PECOS EnrolledAccepts Medicare Assignment
425 UNIVERSITY BLVD, ROUND ROCK, TX 78665(512) 509-0200 Get Directions Write a Review

NPPES record last updated: December 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 17, 2024, Dec 8, 2021 (2 updates tracked since 2021).

About Suneel K Vallabhaneni M.d. NPPES

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

SUNEEL K VALLABHANENI M.D. (NPI 1932307097) is an individual internal medicine provider in Round Rock, Texas, licensed in Texas (Q2497) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center - Temple, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1932307097
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSUNEEL K VALLABHANENICredential: M.D.
Location Address425 UNIVERSITY BLVDRound Rock, TX 78665-1047
Mailing AddressPo Box 844658Dallas, TX 75284-4658 · (254) 724-8800
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJuly 10, 2007
Last NPPES UpdateDecember 17, 20242 updates tracked since enumeration
NPPES CertifiedDecember 17, 2024
NPI 1932307097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in TX · Q2497 Licensed in MI · 4301083452
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.
425 UNIVERSITY BLVD, Round Rock, TX 78665

Other Identifiers 6

Other381870664Tax Id
Medicaid1932307097MI
Other700G360210MI · Blue Care Network
Other7462944MI · Aetna
Other700G360210MI · Blue Cross Blue Shield
OtherSV083452MI · State License

Accepted 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

Suneel K Vallabhaneni M.d. 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 ID6800988171
PECOS Enrollment IDI20150724011071
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
119 services99 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
114 services82 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
87 services87 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
39 services30 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baylor Scott & White Medical Center - Temple

Acute Care Hospitals · Temple, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450054
Location2401 S 31st StTemple, TX 76508 · Bell County
Emergency services Birthing friendly

Baylor Scott & White Medical Center - Round Rock

Acute Care Hospitals · Round Rock, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670034
Location300 University BlvdRound Rock, TX 78664 · Williamson County
Emergency services Birthing friendly

Baylor Scott & White Medical Center Pflugerville

Acute Care Hospitals · Pflugerville, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number670128
Location2600 East Pflugerville ParkwayPflugerville, TX 78660 · Travis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78665 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Physical Therapist
425 UNIVERSITY BLVD
ROUND ROCK, TX 78665
Pediatrics
425 UNIVERSITY BLVD
ROUND ROCK, TX 78665
Physician Assistant (Medical)
425 UNIVERSITY BLVD
ROUND ROCK, TX 78665
Student in an Organized Health Care Education/Training Program
425 UNIVERSITY BLVD
ROUND ROCK, TX 78665
Clinic/Center (Mental Health (Including Community Mental Health Center))
425 UNIVERSITY BLVD
ROUND ROCK, TX 78665
Physician Assistant
425 UNIVERSITY BLVD
ROUND ROCK, TX 78665
Student in an Organized Health Care Education/Training Program
425 UNIVERSITY BLVD
ROUND ROCK, TX 78665
Internal Medicine (Rheumatology)
425 UNIVERSITY BLVD
ROUND ROCK, TX 78665

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 Suneel Vallabhaneni's NPI number?

The NPI number for Suneel Vallabhaneni is 1932307097. It was assigned to this individual provider in the NPPES registry on July 10, 2007.

Where is Suneel Vallabhaneni located?

Suneel Vallabhaneni practices at 425 University Blvd, Round Rock, TX 78665. The listed phone number is (512) 509-0200.

What is Suneel Vallabhaneni's specialty?

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

Is Suneel Vallabhaneni enrolled in Medicare?

Yes. Suneel Vallabhaneni is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Suneel Vallabhaneni accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Suneel Vallabhaneni as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Suneel Vallabhaneni affiliated with any hospitals?

According to CMS data, Suneel Vallabhaneni is affiliated with Baylor Scott & White Medical Center - Temple, Baylor Scott & White Medical Center - Round Rock and Baylor Scott & White Medical Center Pflugerville.

When was this NPI record last updated?

The NPPES record for Suneel Vallabhaneni was last updated on December 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.