Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Avaneesh Jakkoju, MD

Individual provider Interventional Cardiology Physician · NPI 1174962872

Dr. Avaneesh Jakkoju, MD is an Interventional Cardiology in Waco, Texas. Qualified in 2008, 18 years ago. Practices with Scott and White Clinic, a 2,429-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
18
Licensed in
TX
In the registry since
2013
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

50 Hillcrest Medical Blvd Ste 303
Waco, TX 76712-8955
Phone: (254) 202-0480
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence U5990 (TX)

Record details

NPI number1174962872
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 17, 2013
Last updated in NPPESSeptember 26, 2025
Certification dateSeptember 26, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Scott And White Clinic — 2429 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations11 on file with Medicare

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