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

Revanth Poondla, MD

Individual provider Family Medicine Physician · NPI 1356043475

Revanth Poondla, MD is a Family Practice in Georgetown, Texas. Qualified in 2023, 3 years ago. Practices with Scott and White Clinic, a 2,429-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
3
Licensed in
TX
In the registry since
2023
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

4945 Williams Dr
Georgetown, TX 78633-2008
Phone: (512) 819-0500
Fax: (512) 819-0520
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 425 University Blvd Ste 500, Round Rock, TX 78665-1047 — (512) 509-3404

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence V9100 (TX)

Record details

NPI number1356043475
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 21, 2023
Last updated in NPPESNovember 20, 2025
Certification dateNovember 20, 2025
Mailing addressPo Box 844658, Dallas, TX 75284-4658

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Scott And White Clinic — 2429 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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