Active NPI
Gowtham Jonna, M.D.
- Ophthalmology Physician
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- R1552
- Practice address
- 3705 Medical Pkwy Ste 460
Austin, TX 78705-1024 - Phone
- (512) 454-5851
- Fax
- (512) 454-5853
- NPI assigned
- Apr 5, 2011
- Last updated
- Mar 11, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Ophthalmology Physician | 207W00000X | R1552 | TN | Primary |
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | R1552 | TX |
Addresses
Primary practice location
3705 Medical Pkwy Ste 460
Austin, TX 78705-1024
Mailing address
3705 Medical Pkwy Ste 460
Austin, TX 78705-1024
Phone (512) 454-5851
Other practice location 1
2311 Pierce Ave
Nashville, TN 37232-0025
Phone (615) 936-2020
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gjonna@eretina.intellechartdirect.net |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1880 Round Rock Ave
Suite 300
Round Rock, TX 78681-4085
Phone (512) 454-5851
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1552 | TN | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Retina Consultants of Austin, PA | Ophthalmology | Current | Accepting new patients |
| Brian B. Berger | Current | Accepting new patients | |
| Vanderbilt University Medical Center | Past | Accepting new patients | |
| Glaucoma Institute of Austin PA | Ophthalmology | Past | Accepting new patients |
Locations
3705 Medical Pkwy
Ste 410
Austin, TX 78705
Phone (512) 320-5779
3705 Medical Pkwy
Ste 460
Austin, TX 78705
Phone (512) 454-5851
1880 Round Rock Ave
Ste 300
Round Rock, TX 78681
Phone (512) 454-5851
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ophthalmology Physician
- Austin, TX
- NPI 1346310646
-
- Optometrist
- Austin, TX
- NPI 1871699629
-
- Ophthalmology Physician
- Austin, TX
- NPI 1285671271
-
dba Vanderbilt Medical Group
- Eyewear Supplier
- Nashville, TN
- NPI 1194186700
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ascension Seton Medical Center Austin
- General Acute Care Hospital
- Austin, TX
- NPI 1164526786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741651200000",
"number": "1245529767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3705 MEDICAL PKWY STE 460",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787051024",
"telephone_number": "512-454-5851",
"fax_number": "512-454-5853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3705 MEDICAL PKWY STE 460",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787051024",
"telephone_number": "512-454-5851",
"fax_number": "512-454-5853"
}
],
"practiceLocations": [
{
"address_1": "2311 Pierce Ave",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372320025",
"country_code": "US",
"telephone_number": "615-936-2020",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONNA",
"first_name": "GOWTHAM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-05",
"last_updated": "2025-03-11",
"certification_date": "2025-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TN",
"license": "R1552",
"primary": true
},
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "TX",
"license": "R1552",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gjonna@eretina.intellechartdirect.net",
"affiliation": "N",
"address_1": "3705 Medical Pkwy Ste 410",
"city": "Austin",
"state": "TX",
"country_code": "US",
"postal_code": "787051023",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.