Individual provider Active NPI

Aries Caesar Patdu Gavino, M.D.

  • Allergy & Immunology Physician
  • Bellaire, TX
National Provider Identifier
1356677348
Registry record updated Oct 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
P9193 Issued in TX
Practice address
4710 Bellaire Blvd Ste 200
Bellaire, TX 77401-4505
Phone
(713) 661-1444
Fax
(713) 661-6604
NPI assigned
Oct 26, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X BP10034480 TX
Allergy & Immunology Physician 207K00000X P9193 TX Primary

Addresses

Primary practice location

4710 Bellaire Blvd Ste 200
Bellaire, TX 77401-4505

Mailing address

4710 Bellaire Blvd Ste 200
Bellaire, TX 77401-4505
Phone (713) 661-1444

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
I20140715000346 TX Practitioner - Allergy/Immunology 1153546759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
McGovern Allergy Clinic, P.a.Group PAC ID 8921093543, 4 clinicians

Practice addresses (Care Compare)

4710 Bellaire Blvd
Suite 200
Bellaire, TX 77401-4505
Phone (713) 661-1444

Hospital & facility affiliations

  • Houston Methodist Hospital Hospital, Houston, TX, CCN 450358

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P9193TXMDAllergy & Immunology Physician
BP10034480TXMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: gavino.aries.014.0430318@maac.meditab.direct-ci.com

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1256515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412640000000",
    "number": "1356677348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 BELLAIRE BLVD STE 200",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014505",
            "telephone_number": "713-661-1444",
            "fax_number": "713-661-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 BELLAIRE BLVD STE 200",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014505",
            "telephone_number": "713-661-1444",
            "fax_number": "713-661-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVINO",
        "first_name": "ARIES CAESAR",
        "middle_name": "PATDU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-26",
        "last_updated": "2014-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10034480",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "P9193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

Verify at the official NPI Registry.