Alde Carlo Patdu Gavino, M.D.

Primary specialty

Dermatopathology PhysicianTaxonomy code 207ND0900X

License

N8917 Issued in TX

Practice address

9073 W State Highway 29 Ste 108
Liberty Hill, TX 78642-2396

Phone

(737) 377-3143

Fax

(737) 200-8237

NPI assigned

Jun 9, 2007

Last updated

Aug 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Alde Carlo Patdu Gavino Other name

Medicare fee-for-service enrollment

Enrolled in TX, ND2 enrollments

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 2

Specialty

DermatologyAlso: Pathology

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00137
• FHIR API: https://app.meldrx.com/api/fhir/ez_00276

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.

• Gavino Dermatology, PLLC

  • Dermatology Physician
  • Liberty Hill, TX
  • NPI 1619609682
  Medicare reassignment NPD Authorized official
• Daniel J Ladd DO PA

  dba Tru-Skin Dermatology

  • Dermatology Physician
  • Austin, TX
  • NPI 1326238296
  Medicare reassignment NPD
• Skin Win Dermatology PC

  • Dermatology Physician
  • Williston, ND
  • NPI 1992343198
  Medicare reassignment NPD
• Daniel J Ladd Jr DO PA Dba Austin Center for Skin Health and Rejuvenat

  • Dermatology Physician
  • Bastrop, TX
  • NPI 1831334291
  NPD
• Village Oaks Pathology Services, P. a.

  dba Precision Pathology Services

  • Clinical Medical Laboratory
  • San Antonio, TX
  • NPI 1548303712
  NPD
• Village Oaks Pathology Services, P.a.

  • Anatomic Pathology & Clinical Pathology Physician
  • San Antonio, TX
  • NPI 1730138397

  Dermatopathology

  NPD
• Roopal Bhatt MD, PA

  dba Four Points Dermatology

  • Dermatology Physician
  • Austin, TX
  • NPI 1457524118
  NPD (past)

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

{
    "created_epoch": "1181347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1255534863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9073 W STATE HIGHWAY 29 STE 108",
            "city": "LIBERTY HILL",
            "state": "TX",
            "postal_code": "786422396",
            "telephone_number": "737-377-3143",
            "fax_number": "737-200-8237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9073 W STATE HIGHWAY 29 STE 108",
            "city": "LIBERTY HILL",
            "state": "TX",
            "postal_code": "786422396",
            "telephone_number": "737-377-3143",
            "fax_number": "737-200-8237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3502 Wild Cherry Dr Bldg 1",
            "address_purpose": "LOCATION",
            "city": "Lakeway",
            "state": "TX",
            "postal_code": "787381826",
            "country_code": "US",
            "telephone_number": "737-377-3143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAVINO",
        "first_name": "ALDE CARLO",
        "middle_name": "PATDU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-09",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "N8917",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "TX",
            "license": "N8917",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "N8917",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALDE CARLO",
            "last_name": "GAVINO",
            "middle_name": "PATDU",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Danielle Fortune-Jack, LPC-A
• Kendra Friemel
• Ram Mohanbhai Gadhia, MD
• Carissa Garza
• Gavino Dermatology, PLLC
• Sheri Gaynor, RN
• Tiffany Georgiefski, D.D.S
• Kerstin Holl Gillespie, DNP, APRN, FNP-BC
• Thad Harold Gillespie, D.D.S.
• Great Hills Eye Care, PC

• Dermatopathology Physician in Liberty Hill, TX
• Providers in Liberty Hill, TX by specialty
• Dermatopathology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.

Verify at the official NPI Registry.