Individual provider Active NPI

Gary Steven Donovitz, M.D.

  • Specialist
  • Arlington, TX
National Provider Identifier
1821041328
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
F6580 Issued in TX
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

Updated by the provider on May 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
099828801MedicaidTX

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
I20140826002612 TX Order and Referring Only - Obstetrics/GynecologyPractitioner - Obstetrics/Gynecology 0840101945

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F6580TXMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Mandy Cotten FNP-C, P.a. CurrentSince May 28, 2023 Accepting new patients

Locations

4224 Park Springs Blvd
Ste 100
Arlington, TX 76016
Phone (817) 467-7474

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20452/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.