DR. SATHIRAJU UNDAVALLI (MD) – Internal Medicine Physician, NPI 1144412099

DR. SATHIRAJU UNDAVALLI (MD) is a healthcare provider. based in Owatonna, Minnesota. specializing in INTERNAL MEDICINE, HOSPITALIST. They hold the professional credentials MD. They hold a License No. 52633 (MN). The NPI Number for DR. SATHIRAJU UNDAVALLI (MD) is 1144412099

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. SATHIRAJU UNDAVALLI (MD)
NPI
1144412099
Phone
(605) 221-5774
Address
2425 MOSSY CREEK DR
Enumeration Date
14 August 2007
Last Update Date
10 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9033152000
Graduation Year
1998 (28 years ago)
PAC ID
3577623677
Group Practice PAC ID
6305295429
Professional Enrollment ID
I20190711000712
Address ID
TX756015580LO700XXAVEX400

Contacts

Secure Messaging
sundavalli1445345@direct.sw.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness95
Years active:18State licenses:2Other names

13,297 INTERNAL MEDICINE in TX

Provider Addresses for DR. SATHIRAJU UNDAVALLI (MD)

  • 2425, Mossy Creek Drive, Owatonna, Steele County, Minnesota, 55060, United States

    OWATONNA, MN 550606259

    Phone: (605) 221-5774

    Type: Mailing

  • 1612 S Henderson Blvd

    Kilgore, TX 756623518

    Phone: (903) 983-2492

    Type: Location

  • 810 W HIGHWAY 71

    MARBLE FALLS, TX 786548602

    Phone: (830) 201-8000

    Fax: (830) 201-8008

    Type: Location

  • 323 E Hawkins Pkwy

    Longview, TX 756058153

    Phone: (903) 544-6700

    Type: Location

  • 2200 NW 26th St

    Owatonna Clinic -Mayo Health System

    Owatonna, MN 550605503

    Phone: (507) 451-1120

    Type: Location

  • 811 S Washington Ave

    Marshall, TX 756705336

    Phone: (903) 315-1488

    Type: Location

  • 700 E MARSHALL AVE

    LONGVIEW, TX 756015580

    Phone: (903) 315-1488

    Type: Mailing

  • Northwest 26th Street, Owatonna, Steele County, Minnesota, 55060, United States

    OWATONNA CLINIC -MAYO HEALTH SYSTEM

    OWATONNA, MN 550605503

    Phone: (507) 451-1120

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-07-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190711000712IInternal MedicineTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes393176$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes19592$0
99239Hospital discharge day management, more than 30 minutes147143$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes6060$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes3523$0
View full utilization report →

Insurance plans in this area (ZIP 55060)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6305295429View full group profile
NameSpecialtyState
Nurse PractitionerTX
H O S P I T A L I S TNE
Hospitalist, GastroenterologyTX
Internal MedicineTX
Hospitalist, Internal MedicineTX
Internal MedicineTX
Nurse PractitionerTX
H O S P I T A L I S TTX
Family PracticeTX
Internal MedicineTX

Reviews

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Frequently asked questions

Can I cross-check DR. SATHIRAJU UNDAVALLI (MD) using NPI 1144412099?
NPI 1144412099 belongs to DR. SATHIRAJU UNDAVALLI (MD); compare other details if you need extra assurance.
Is there an active status for DR. SATHIRAJU UNDAVALLI (MD)?
For scheduling context, DR. SATHIRAJU UNDAVALLI (MD) is shown as active in the registry.
What expertise is attributed to DR. SATHIRAJU UNDAVALLI (MD)?
DR. SATHIRAJU UNDAVALLI (MD)'s specialty line reads Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Minnesota is DR. SATHIRAJU UNDAVALLI (MD) registered?
Use Owatonna, Minnesota as the headline location for DR. SATHIRAJU UNDAVALLI (MD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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