Individual provider Active NPI

Kavita Arvindkumar Gajjar, M.D.

  • Pediatrics Physician
  • Marble Falls, TX
National Provider Identifier
1376780429
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
Q7193 Issued in TX
Practice address
802 Avenue J
Marble Falls, TX 78654-5125
Phone
(877) 800-5722
Fax
(830) 693-2481
NPI assigned
Jan 12, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 249620 NY
Pediatrics Physician 208000000X Q7193 TX Primary

Addresses

Primary practice location

802 Avenue J
Marble Falls, TX 78654-5125

Mailing address

2423 Williams Dr Ste 107
Georgetown, TX 78628-3269
Phone (877) 800-5722

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kavita.gajjar.p1@direct.lscctx.nextgenshare.com

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
I20170901002019 TX Practitioner - Pediatric Medicine 4385917996 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
249620NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lone Star Circle of Care Pediatrics CurrentSince Aug 21, 2017 Accepting new patients
Lone Star Circle of Care CurrentSince Aug 21, 2017 Accepting new patients
Lone Star Circle of Care Past Accepting new patients

Locations

11111 Research Blvd
Ste 295
Austin, TX 78759
Phone (512) 439-1003

12201 Renfert Way
Ste 105
Austin, TX 78758

1221 W Ben White Blvd
Ste 200B
Austin, TX 78704
Phone (512) 524-9249

1730 E Whitestone Blvd
Ste 101
Cedar Park, TX 78613
Phone (512) 524-9288

205 E University Ave
Ste 200
Georgetown, TX 78626
Phone (512) 686-0207

2423 Williams Dr
Ste 103
Georgetown, TX 78628

2423 Williams Dr
Georgetown, TX 78628
Phone (512) 341-8908

2423 Williams Dr
Ste 107
Georgetown, TX 78628
Phone (512) 686-0207

802 Avenue J
Marble Falls, TX 78654
Phone (830) 693-9729

3950 N A W Grimes Blvd
Ste N201
Round Rock, TX 78665
Phone (512) 524-9282

2120 N Mays St
Ste 430
Round Rock, TX 78664
Phone (512) 255-5120

Interoperability endpoints

  • Direct secure messaging: kavita.gajjar.1@29821.direct.athenahealth.com

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": "1231718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1376780429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 WILLIAMS DR STE 107",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283269",
            "telephone_number": "877-800-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 AVENUE J",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "786545125",
            "telephone_number": "877-800-5722",
            "fax_number": "830-693-2481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAJJAR",
        "first_name": "KAVITA",
        "middle_name": "ARVINDKUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-12",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "249620",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "Q7193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kavita.gajjar.p1@direct.lscctx.nextgenshare.com",
            "affiliation": "N",
            "address_1": "802 Avenue J",
            "city": "Marble Falls",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786545125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marble Falls, TX

Sources for this page

Verify at the official NPI Registry.