Individual provider Active NPI

Kaitlin Claire Negandhi Valentine, MD

  • Family Medicine Physician
  • Austin, TX
National Provider Identifier
1245853514
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
U6099 Issued in TX
Practice address
4614 N Ih 35
Austin, TX 78751-3401
Phone
(512) 978-9100
NPI assigned
May 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X U6099 TX Primary

Addresses

Primary practice location

4614 N Ih 35
Austin, TX 78751-3401

Mailing address

4614 N Ih 35
Austin, TX 78751-3401
Phone (512) 978-9100

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
I20251015005109 TX Practitioner - Family Practice 3173972023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Southwestern Medical School at Dallas, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Central Texas Community Health CentersGroup PAC ID 5395802151, 165 clinicians

Practice addresses (Care Compare)

1000 E 41St St
Suite 925
Austin, TX 78751-4856
Phone (512) 978-9940

1705 E 11TH St
Austin, TX 78702-2709
Phone (512) 978-9600

4614 N Ih
Suite 35
Austin, TX 78751-3401
Phone (512) 978-9100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U6099TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Texas Community Health Centers CurrentSince Aug 2, 2025 Accepting new patients
Central Texas Community Health Centers Family Medicine CurrentSince Aug 2, 2025 Accepting new patients
Central Texas Community Health Centers Past Accepting new patients

Locations

1705 E 11th St
Austin, TX 78702
Phone (512) 978-8400

4614 N Interstate 35
Austin, TX 78751
Phone (512) 978-8994

1210 W Braker Ln
Austin, TX 78758
Phone (512) 978-9300

301 W State Highway 71
Ste 111
Bastrop, TX 78602
Phone (512) 304-0318

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": "1590019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1245853514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4614 N IH 35",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787513401",
            "telephone_number": "512-978-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4614 N IH 35",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787513401",
            "telephone_number": "512-978-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENTINE",
        "first_name": "KAITLIN",
        "middle_name": "CLAIRE NEGANDHI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-21",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "U6099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.