Active NPI
Gary Steven Donovitz, M.D.
- Specialist
- Arlington, TX
National Provider Identifier
1821041328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- F6580
- Practice address
- 4224 Park Springs Blvd
Suite 100
Arlington, TX 76016 - Phone
- (817) 467-7474
- Fax
- (817) 468-8643
- NPI assigned
- May 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | F6580 | TX | Primary |
Addresses
Primary practice location
4224 Park Springs Blvd
Suite 100
Arlington, TX 76016
Mailing address
4224 Park Springs Blvd
Suite 100
Arlington, TX 76016
Phone (817) 467-7474
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 099828801 | Medicaid | TX |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140826002612 | TX | Order and Referring Only - Obstetrics/Gynecology | 0840101945 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F6580 | TX | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Mandy Cotten FNP-C, P.a. | Current | Accepting new patients |
Locations
4224 Park Springs Blvd
Ste 100
Arlington, TX 76016
Phone (817) 467-7474
Interoperability endpoints
- https://api.platform.athenahealth.com/20452/brand/1/csg/1/fhir/r4
- gary.donovitz.1@20452.direct.athenahealth.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.
-
- Family Nurse Practitioner
- Arlington, TX
- NPI 1962974550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684972800000",
"number": "1821041328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4224 PARK SPRINGS BLVD",
"address_2": "SUITE 100",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "76016",
"telephone_number": "817-467-7474",
"fax_number": "817-468-8643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4224 PARK SPRINGS BLVD",
"address_2": "SUITE 100",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "76016",
"telephone_number": "817-467-7474",
"fax_number": "817-468-8643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONOVITZ",
"first_name": "GARY",
"middle_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2023-05-25",
"certification_date": "2023-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "F6580",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "099828801",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.