Active NPI
Forrest T Gnagi, M.D.
- Pediatrics Physician
- Austin, TX
National Provider Identifier
1962797597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- U0120
- Practice address
- 1600 W 38TH St Ste 100
Austin, TX 78731-6404 - Phone
- (512) 458-5323
- Fax
- (512) 458-2030
- NPI assigned
- Jun 11, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | U0120 | TX | Primary |
| Pediatrics Physician | 208000000X | 48923 | AZ |
Addresses
Primary practice location
1600 W 38TH St Ste 100
Austin, TX 78731-6404
Mailing address
1600 W 38TH St Ste 100
Austin, TX 78731-6404
Phone (512) 458-5323
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 |
|---|---|---|---|---|
| I20250801004077 | TX | Practitioner - Pediatric Medicine | 6608094198 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| U0120 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dell Children'S Medical Group | Current | Accepting new patients | |
| Dell Children'S Medical Group | Pediatrics | Current | Accepting new patients |
| Pediatric Associates of Austin, P.a. | Pediatrics | Past | Accepting new patients |
| Camelback Pediatrics PC | Pediatrics | Past | Accepting new patients |
Locations
1301 Barbara Jordan Blvd
Ste 200
Austin, TX 78723
Phone (512) 628-1800
1301 Barbara Jordan Blvd
Ste 302
Austin, TX 78723
Phone (512) 472-6134
Interoperability endpoints
- forest.gnagi.1@8363.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Sleep Disorder Diagnostic Clinic/Center
- Austin, TX
- NPI 1124748249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696982400000",
"number": "1962797597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 W 38TH ST STE 100",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787316404",
"telephone_number": "512-458-5323",
"fax_number": "512-458-2030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 W 38TH ST STE 100",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787316404",
"telephone_number": "512-458-5323",
"fax_number": "512-458-2030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GNAGI",
"first_name": "FORREST",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-11",
"last_updated": "2023-10-11",
"certification_date": "2023-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "U0120",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "48923",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.