Individual provider Active NPI

Kavita Nirmal, M.D.

  • Hematology & Oncology Physician
  • Marshall, TX
National Provider Identifier
1760619621
Registry record updated Dec 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
N3211 Issued in TX
Practice address
815 S Washington Ave Ste 100
Marshall, TX 75670-5316
Phone
(903) 927-6094
Fax
(903) 927-6095
NPI assigned
Jun 18, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X N3211 TX Primary

Addresses

Primary practice location

815 S Washington Ave Ste 100
Marshall, TX 75670-5316

Mailing address

PO Box 911230
Dallas, TX 75391-1230
Phone (972) 997-8000

Other identifiers 2

IdentifierTypeStateIssuer
P00868147OtherTXRAILROAD MEDICARE
212469501MedicaidTX

Other names 1

  • Goud Kavita Nirmal Former name

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
I20100712000168 TX Practitioner - Hematology/OncologyPractitioner - Internal MedicinePractitioner - Medical Oncology 8325064975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine, Medical Oncology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

1300 N 4TH St
Longview, TX 75601-4717
Phone (903) 757-2122

1400 N 4TH St
Longview, TX 75601-4756
Phone (903) 757-2122

2026 S Jackson St
Jacksonville, TX 75766-5822
Phone (903) 586-2456

701 S Washington Ave
Suite a
Marshall, TX 75670-5335
Phone (903) 757-2122

7848 Gateway Blvd E
El Paso, TX 79915-1815
Phone (915) 599-1313

815 S Washington Ave
Suite 204
Marshall, TX 75670-5341
Phone (903) 935-4601

PO Box
Suite 911242
Dallas, TX 75391-1242

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as apm
Quality
67.48
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N3211TXMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Oncology PA Hematology & Oncology CurrentSince Jun 1, 2010 Accepting new patients
Texas Oncology PA Hematology & Oncology CurrentSince Jun 1, 2010 Accepting new patients

Locations

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

1300 N 4th St
Longview, TX 75601
Phone (903) 757-2122

815 S Washington Ave
Ste 100
Marshall, TX 75670
Phone (903) 927-6094

Interoperability endpoints

  • Direct secure messaging: kavita.nirmal@txo.ikm.direct-ci.com

Organizations & group practices 2

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.

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": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293667200000",
    "number": "1760619621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753911230",
            "telephone_number": "972-997-8000",
            "fax_number": "972-234-0813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 S WASHINGTON AVE STE 100",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756705316",
            "telephone_number": "903-927-6094",
            "fax_number": "903-927-6095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIRMAL",
        "first_name": "KAVITA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-18",
        "last_updated": "2010-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TX",
            "license": "N3211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00868147",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "212469501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GOUD",
            "last_name": "NIRMAL",
            "middle_name": "KAVITA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marshall, TX

Sources for this page

Verify at the official NPI Registry.