Individual provider Active NPI

Anthony Nickolas Gavalas II, MD

  • Orthopaedic Surgery Physician
  • Fort Hood, TX
National Provider Identifier
1114544830
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MMD.88501 Issued in SC
Practice address
590 Medical Center Dr
Fort Hood, TX 76544-5060
Phone
(254) 288-8888
NPI assigned
Jun 29, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MMD.88501 SC Primary

Addresses

Primary practice location

590 Medical Center Dr
Fort Hood, TX 76544-5060

Mailing address

590 Medical Center Dr
Fort Hood, TX 76544-5060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260106002599 TX Practitioner - Orthopedic Surgery 3375039779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of South Carolina School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Specialty PhysiciansGroup PAC ID 6305901927, 59 clinicians

Practice addresses (Care Compare)

4002 S Loop
256 Suite B
Palestine, TX 75801-8405
Phone (903) 731-5030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MMD.88501SCMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Specialty Physicians CurrentSince Jan 1, 2026 Accepting new patients
Texas Specialty Physicians Orthopaedic Surgery CurrentSince Jan 1, 2026 Accepting new patients
Texas Specialty Physicians Orthopaedic Surgery Past Accepting new patients

Locations

600 S Bonham St
Mexia, TX 76667
Phone (254) 562-5332

514 S Bonham St
Ste D
Mexia, TX 76667
Phone (254) 562-5961

4002 S Loop 256
Ste B
Palestine, TX 75801
Phone (903) 731-5442

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20210/brand/1/csg/22/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1114544830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 MEDICAL CENTER DR",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "765445060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 MEDICAL CENTER DR",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "765445060",
            "telephone_number": "254-288-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVALAS",
        "first_name": "ANTHONY",
        "middle_name": "NICKOLAS",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-29",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "SC",
            "license": "MMD.88501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Hood, TX

Sources for this page

Verify at the official NPI Registry.