NPI age
10 years
Enumerated 2016-05-23
● Active
Type 1 · Individual
Saivenkat H Vagvala, D.O.
Vagvala is 1 of 1 radiology providers in Georgetown and 1 of 102 in Texas.
Primary specialty
Radiology
Plus 3 subspecialties
Licensed in
TX, WI, MI
3 states
Status
Active
No deactivations on record
Last NPPES update
2025-01-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 102 active radiology providers in Texas.
NPI age
10 years
↓ 8 yr below median (18 yr)
State licenses
3 states
Top 75% — 24% of peers are multi-state
Subspecialties
2
In the 49% of peers with subspecialties
NPI lifetime · 2016 → 2026
2016-05Enumerated in NPPES
2016
2026
Where they practice
Practice location
1101 Wolf Lake Dr # 100
Georgetown, TX 786283778
Mailing address
1101 Wolf Lake Dr # 100
Georgetown, TX 786283778
Additional practice locations
3 secondary locations on file with NPPES.
Location 2
8701 W Watertown Plank Rd
Milwaukee, WI 53226
Location 3
2900 W Oklahoma Ave
Milwaukee, WI 532154330
Location 4
16001 W 9 Mile Rd
Southfield, MI 480754818
Specialties
-
Radiology PrimaryA radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
-
RadiologyA radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
-
Student in an Organized Health Care Education/Training ProgramAn individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (WI) | 100081240 |
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.