Organization Active NPI

Gauri Kanhere PLLC

  • Rural Health Clinic/Center
  • Rio Grande City, TX
National Provider Identifier
1093338121
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
GAURI KANHERE PLLC
Practice address
131 N FM 3167 Ste C
Rio Grande City, TX 78582-7009
Phone
(956) 352-1344
Fax
(956) 352-1343
NPI assigned
May 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gauri G. Kanhere, MDNPI 1710910773
Title
Owner
Phone
(956) 844-2099

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

131 N FM 3167 Ste C
Rio Grande City, TX 78582-7009

Mailing address

131 N FM 3167 Ste C
Rio Grande City, TX 78582-7009
Phone (956) 352-1344

Other names 1

  • Valley Health Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200723000599 TX Part A Provider - Rural Health Clinic 2062833106 Practice locations: Rio Grande City, TX

Rural health clinic certification: CCN 673964

Legal name
GAURI KANHERE PLLC
Doing business as
VALLEY HEALTH CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Sep 16, 2021
Last certification
Sep 11, 2024
Ownership / control type
1A
Organization structure
LLCProprietary
Incorporated
Nov 30, 2018 in TX
Enrollment address
131 N FM 3167
Ste C
Rio Grande City, TX 78582-7009

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Gauri Kanhere PLLC Organization, Rio Grande City, TX LLC, For-profit 5% Or Greater Direct Ownership Interest May 11, 2020 100%
Operational/Managerial Control May 11, 2020 100%
Gauri G Kanhere Individual 5% Or Greater Direct Ownership InterestPresident May 11, 2020 100%
Corporate OfficerPresident Nov 30, 2018 100%
W-2 Managing EmployeePresident May 11, 2020 100%
Operational/Managerial ControlPresident May 11, 2020 100%

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1590192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659052800000",
    "number": "1093338121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 N FM 3167 STE C",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785827009",
            "telephone_number": "956-352-1344",
            "fax_number": "956-352-1343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 N FM 3167 STE C",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785827009",
            "telephone_number": "956-352-1344",
            "fax_number": "956-352-1343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAURI KANHERE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-23",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A",
        "authorized_official_last_name": "KANHERE",
        "authorized_official_first_name": "GAURI",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-844-2099",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rio Grande City, TX

Sources for this page

Verify at the official NPI Registry.