Madhavi Gavirneni, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

Q8890 Issued in TX

Practice address

2909 Mitchell Blvd
Ft Worth, TX 76105-4642

Phone

(817) 625-4254

Fax

(817) 740-8612

NPI assigned

Jun 27, 2012

Last updated

Apr 16, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: madhavi.gavirneni.p1@direct.ntachc.nextgenshare.com

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.

• North Texas Area Community Health Centers, Inc.

  dba Northside Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Fort Worth, TX
  • NPI 1568420800
  Medicare reassignment NPD
• North Texas Area Community Health Centers, Inc

  dba North Texas Area Community Health Centers Pharmacy

  • Community/Retail Pharmacy
  • Fort Worth, TX
  • NPI 1417438243
  NPD

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1275897076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 MITCHELL BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761054642",
            "telephone_number": "817-625-4254",
            "fax_number": "817-740-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 MITCHELL BLVD",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761054642",
            "telephone_number": "817-625-4254",
            "fax_number": "817-740-8612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2332 Beverly Hills Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761141756",
            "country_code": "US",
            "telephone_number": "817-625-4254",
            "fax_number": "817-740-8612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAVIRNENI",
        "first_name": "MADHAVI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-27",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "53236",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "Q8890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE",
            "identifier": "3714470",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah L Gautier, COTA
• Shaila Sampat Gavande, MD
• Leslie Gavin
• Udaya Gavini, MD
• Marian Gaviola, PHARMD
• Gay S Kelso, Dba Solution Focused Counseling (Solution Focused Counseling)
• Tyra Gay
• Kendra Gaye
• Tankaseh Patience Gaye
• Gayle Y. Daniels, PC (Daniels Optical)

• Pediatrics Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.