Amitha Madhuri Avasarala, M.D.
Internal Medicine, Pulmonary Disease in Austin, TX. Individual provider (NPI-1).
NPI number1104388024
StatusActive
Last updated in NPPESSep 9, 2026
Details
- NPI
- 1104388024
- Entity type
- Individual (NPI-1)
- Name
- Amitha Madhuri Avasarala
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 1, 2019
- Certification date
- Sep 9, 2026
- Last updated
- Sep 9, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - HOSPITALIST
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RP1001X | Internal Medicine, Pulmonary Disease | W7962 | TX | Yes |
| 208D00000X | General Practice | 036.164758 | IL | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
5920 W William Cannon Dr Ste 150Austin, TX 78749-1902
Phone 512-441-9799
Mailing address
1513 E New Hope Dr Bldg BCedar Park, TX 78641-5760
Other practice locations
2160 S 1st Ave
Maywood, IL 60153-3328
Maywood, IL 60153-3328
Phone 708-216-5140
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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