| Sunil C Kolli, MD | |
|
100 Medical Pkwy Ste A, Lakeway, TX 78738-5621 | |
| (512) 571-5000 | |
| Not Available |
| Full Name | Sunil C Kolli |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 29 Years |
| Location | 100 Medical Pkwy Ste A, Lakeway, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396704870 | NPI | - | NPPES |
| 036110816 | Other | IL | BCBS |
| P00301909 | Other | IL | RAIL ROAD MEDICARE |
| 341646YMVU | Other | TX | WELLMED NETWORKS INC |
| 036110816 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036110816 (Illinois) | Secondary |
| 208M00000X | Hospitalist | N0900 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baylor Scott & White Medical Center - Round Rock | Round rock, TX | Hospital |
| Baylor Scott & White Medical Center - Marble Falls | Marble falls, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Scott And White Clinic | 8123923604 | 2276 |
| Entity Name | Scott & White Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640 |
| Entity Name | Curana Health Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255640678 PECOS PAC ID: 9133304603 Enrollment ID: O20110427000111 |
| Entity Name | Lonestar Hospital Medicine Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518237429 PECOS PAC ID: 6709049703 Enrollment ID: O20120530000620 |
| Entity Name | Citizens Medical Center County Of Victoria |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205242088 PECOS PAC ID: 3577785096 Enrollment ID: O20141117000499 |
| Entity Name | Ipc Healthcare Services Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023403011 PECOS PAC ID: 3971824939 Enrollment ID: O20150603001409 |
| Entity Name | Ch Specialty Services Tx Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306225701 PECOS PAC ID: 6507173291 Enrollment ID: O20150912000083 |
| Mailing Address | Practice Location Address |
|---|---|
| Sunil C Kolli, MD Po Box 844658, Dallas, TX 75284-4658 Ph: (254) 724-2111 | Sunil C Kolli, MD 100 Medical Pkwy Ste A, Lakeway, TX 78738-5621 Ph: (512) 571-5000 |
Nabia Noman, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Pkwy, Lakeway, TX 78738 Phone: 512-571-5000 | |
Karime Gonzalez, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Pkwy, Lakeway, TX 78738 Phone: 512-571-5000 Fax: 512-571-5198 | |
Garima Gandhir, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Pkwy, Lakeway, TX 78738 Phone: 512-571-5000 Fax: 512-571-5198 |