Individual provider Active NPI

Gaurang P. Mavani, MD

  • Hospitalist Physician
  • Greenwood, IN
National Provider Identifier
1306862909
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
01083586A Issued in IN
Practice address
701 E County Line Rd Ste 101
Greenwood, IN 46143-1070
Phone
(317) 885-2860
Fax
(317) 885-2869
NPI assigned
Jul 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.126507 OH
Internal Medicine Physician 207R00000X 01083586A IN
Hospitalist Physician 208M00000X 01083586A IN Primary

Addresses

Primary practice location

701 E County Line Rd Ste 101
Greenwood, IN 46143-1070

Mailing address

701 E County Line Rd Ste 101
Greenwood, IN 46143-1070
Phone (317) 885-2860

Other practice location 1

1 Wyoming St
Suite NW3300
Dayton, OH 45409-2722
Phone (937) 208-8394

Other identifiers 2

IdentifierTypeStateIssuer
0134629MedicaidOH
300039233MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct.indianainternalmedicine@ccme.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NY, IN, FL4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20150624003139 OH Practitioner - Internal Medicine 6901820554 Reassigns benefits to 7 organizations
I20171128002220 NY Practitioner - NephrologyPractitioner - Internal Medicine 6901820554 Reassigns benefits to 2 organizations
I20200508002382 IN Practitioner - HospitalistPractitioner - Internal Medicine 6901820554 Reassigns benefits to 2 organizations
I20220510000083 FL Practitioner - Internal Medicine 6901820554

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Francis Medical Group LLCGroup PAC ID 7012067697, 113 clinicians

Practice addresses (Care Compare)

701 E County Line Rd
Suite 101
Greenwood, IN 46143-1070
Phone (317) 885-2860

Hospital & facility affiliations

  • Franciscan Health Indianapolis Hospital, Indianapolis, IN, CCN 150162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01083586AINMDInternal Medicine Physician
35.126507OHMDInternal Medicine Physician
39887TNMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Family Care Inc Hospitalist CurrentSince May 1, 2016 Accepting new patients
Upper Valley Professional Corporation Internal Medicine CurrentSince Jul 1, 2015 Accepting new patients
Hospitalist Medicine Physicians of Richland County, LTD Internal Medicine CurrentSince Feb 10, 2020 Accepting new patients
St Francis Medical Group LLC Internal Medicine CurrentSince Jun 1, 2020 Accepting new patients
St. Francis Medical Group, LLC Internal Medicine CurrentSince Jun 1, 2020 Accepting new patients
Mvhe Inc Internal Medicine CurrentSince Jul 1, 2015 Accepting new patients
Trihealth G, LLC CurrentSince Mar 6, 2019 Accepting new patients
Indiana Internal Medicine Consultants, LLC. Internal Medicine CurrentSince Jun 1, 2020 Accepting new patients
Apogee Medical Group Ohio Inc Internal Medicine CurrentSince Oct 20, 2017 Accepting new patients
Mvhe Inc Internal Medicine CurrentSince Jul 1, 2015 Accepting new patients
Champlain Valley Physicians Hospital Medical Center Internal Medicine CurrentSince Dec 3, 2017 Accepting new patients
Trihealth G LLC Internal Medicine CurrentSince Mar 6, 2019 Accepting new patients
Samaritan Family Care Inc Internal Medicine CurrentSince May 1, 2016 Accepting new patients
MVHS Inc CurrentSince Nov 13, 2017 Accepting new patients
MVHS Inc CurrentSince Nov 13, 2017 Accepting new patients
Mvhe Inc Internal Medicine Current Accepting new patients
Hospitalist Medicine Physicians of Ohio, Professional Corporation Internal Medicine CurrentSince Jul 1, 2018 Accepting new patients
Apogee Medical Group, Louisiana, Inc. Past Accepting new patients
Premier Heart Associates, Inc Past Accepting new patients
Major Hospital Past Accepting new patients
Anderson Hospital Providers Inc Hospitalist Past Accepting new patients
Alteon Health Alabama, LLC Past Accepting new patients
Meritra Physicians LLC Hospitalist Past Accepting new patients
Apogee Medical Group Alabama Inc Internal Medicine Past Accepting new patients
Garden Park Hospitalist Program LLC Hospitalist Past Accepting new patients
Pacific Physician Services, LLC Past Accepting new patients
Hospitalist Medicine Physicians of Mississippi, LLC Internal Medicine Past Accepting new patients
Triven Health Internal Medicine PastSince Feb 1, 2018 Accepting new patients

Locations

604 Stone Ave
Talladega, AL 35160
Phone (256) 362-8111

701 E County Line Rd
Ste 101
Greenwood, IN 46143
Phone (317) 885-2860

75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

722 N Fairfield Rd
Beavercreek, OH 45434
Phone (937) 208-7000

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

379 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-1400

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034

9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750

2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831

136 S Ludlow St
#1
Dayton, OH 45402
Phone (937) 499-6745

1530 Needmore Rd
Ste 200
Dayton, OH 45414
Phone (937) 278-5854

1 Wyoming St
Ste Nw
Dayton, OH 45409
Phone (937) 208-8394

3000 Mack Rd
Hamilton, OH 45014
Phone (513) 870-7000

1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000

450 N Hyatt St
Ste 202
Tipp City, OH 45371
Phone (937) 667-3141

500 S Cleveland Ave
Westerville, OH 43081
Phone (380) 898-4000

Interoperability endpoints

  • Direct secure messaging: gmavani519659@direct.franciscanalliance.org
  • Direct secure messaging: direct.indianainternalmedicine@ccme.com

Organizations & group practices 28

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.

View all 28

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1306862909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E COUNTY LINE RD STE 101",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431070",
            "telephone_number": "317-885-2860",
            "fax_number": "317-885-2869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E COUNTY LINE RD STE 101",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431070",
            "telephone_number": "317-885-2860",
            "fax_number": "317-885-2869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Wyoming St",
            "address_2": "Suite NW3300",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454092722",
            "country_code": "US",
            "telephone_number": "937-208-8394",
            "fax_number": "937-208-8338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAVANI",
        "first_name": "GAURANG",
        "middle_name": "P.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.126507",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01083586A",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "01083586A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0134629",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300039233",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct.indianainternalmedicine@ccme.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "701 E County Line Rd Ste 101",
            "city": "Greenwood",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461431070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

Verify at the official NPI Registry.