Avi Deshmukh, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

H1067 Issued in TX

Practice address

805 Hill Blvd Ste 106-107
Granbury, TX 76048

Phone

(817) 599-3690

Fax

(817) 599-6633

NPI assigned

Jun 23, 2005

Last updated

Sep 20, 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 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. 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

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 Central Texas Urology, PLLC

  • Urology Physician
  • Grandbury, TX
  • NPI 1780927152
  Authorized official Same address or phone

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789862400000",
    "number": "1386640415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 HILL BLVD STE 106-107",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760481481",
            "telephone_number": "817-599-3690",
            "fax_number": "817-599-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 HILL BLVD STE 106-107",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "76048",
            "telephone_number": "817-599-3690",
            "fax_number": "817-599-6633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "831 Eureka St",
            "address_purpose": "LOCATION",
            "city": "Weatherford",
            "state": "TX",
            "postal_code": "760865807",
            "country_code": "US",
            "telephone_number": "817-599-3690",
            "fax_number": "817-599-6633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1212 Clear Lake Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Weatherford",
            "state": "TX",
            "postal_code": "760865878",
            "country_code": "US",
            "telephone_number": "817-599-3690",
            "fax_number": "817-599-6633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "561 N Graham St",
            "address_purpose": "LOCATION",
            "city": "Stephenville",
            "state": "TX",
            "postal_code": "764013548",
            "country_code": "US",
            "telephone_number": "817-599-3690",
            "fax_number": "817-599-6633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESHMUKH",
        "first_name": "AVI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2026-09-20",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "H1067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROV NO",
            "identifier": "340008824",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101878001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER NUMBER",
            "identifier": "9792483001",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "814764",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "4458935",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CARE PROVIDER NUMBE",
            "identifier": "111591100",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Delia I. Wright, MD, PA
• Susan M Denevan, LCDC
• Dental Professionals of Texas, P.a. (Granbury Dental Center)
• Depot Bay,Inc (Nucardio-Heart-Center)
• Haskell Ray Derryberry, FNP
• Beth Deskin
• Elizabeth Dever
• Marcie Diamond, PTA
• DME Solutions LP
• Joshua Dodge

• Urology Physician in Granbury, TX
• Providers in Granbury, TX by specialty
• Urology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.