HEMANTH K GAVINI MD
NPI 1073522504
Internal Medicine - Gastroenterology in Washington, DC

Active since August 05, 2006PECOS EnrolledAccepts Medicare Assignment
97.64/100
CMS Quality Rating
2150 PENNSYLVANIA AVE NW, WASHINGTON, DC 20037(202) 741-2160(202) 741-2169 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 4, 2024, Sep 24, 2024 (2 updates tracked since 2024).

About Hemanth K Gavini Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEMANTH K GAVINI MD (NPI 1073522504) is an individual gastroenterology provider in Washington, District Of Columbia, licensed in District Of Columbia (MD500002303) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Parkview Regional Medical Center, and maintains a secondary practice location in Fort Wayne.

NPPES Registry Identity

NPI1073522504
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameHEMANTH K GAVINICredential: MD
Location Address2150 PENNSYLVANIA AVE NWWashington, DC 20037-3201
Mailing Address2150 Pennsylvania Ave NwWashington, DC 20037-3201
Fax(202) 741-2169
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateAugust 5, 2006
Last NPPES UpdateNovember 4, 20242 updates tracked since enumeration
NPPES CertifiedNovember 4, 2024
NPI 1073522504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses Licensed in DC · MD500002303 Licensed in IN · 01094320A
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

2150 PENNSYLVANIA AVE NW, Washington, DC 20037

Secondary Practice Location 1

Location 111104 Parkview Circle Dr Ste 310Fort Wayne, IN 46845-1733 · Phone (260) 266-5230 · Fax (260) 458-5972

Other Identifiers 2

Medicaid112033AZ
OtherP00345246AZ · Rr Medicare

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Hemanth K Gavini Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698779965
PECOS Enrollment IDI20231103001473, I20241003003872, I20241008002391, I20260321000058
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
91 services90 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
62 services61 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
27 services20 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
15 services15 patients
Review by radiologist of image from tube placement into bile duct using an endoscope 74328
This procedure involves a specialist, called a radiologist, examining an image taken during a tube placement into your bile duct. The tube is inserted with the help of a tool called an endoscope. This allows the doctor to check for any issues or abnormalities in your bile duct.
15 services14 patients
Ultrasound guided needle aspiration or biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43242
This procedure involves using an ultrasound to guide a needle to specific areas in the esophagus, stomach, or upper small bowel. A flexible endoscope is used to reach these areas. The needle collects a small sample for testing.
14 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150021
Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County
Emergency services Birthing friendly

Faith Regional Health Services

Acute Care Hospitals · Norfolk, NE
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number280125
Location2700 West Norfolk AveNorfolk, NE 68701 · Madison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20037 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.77
Promoting Interoperability98.67
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Allergy & Immunology
2150 PENNSYLVANIA AVE NW, SUITE G-402
WASHINGTON, DC 20037
Emergency Medicine
2150 PENNSYLVANIA AVE NW
WASHINGTON, DC 20037
Ophthalmology
2150 PENNSYLVANIA AVE NW, ST 2A
WASHINGTON, DC 20037
Obstetrics & Gynecology (Maternal & Fetal Medicine)
2150 PENNSYLVANIA AVE NW, STE 10-409A
WASHINGTON, DC 20037
Obstetrics & Gynecology (Maternal & Fetal Medicine)
2150 PENNSYLVANIA AVE NW, MEDICAL FACULTY ASSOCIATES INC
WASHINGTON, DC 20037
Obstetrics & Gynecology (Reproductive Endocrinology)
2150 PENNSYLVANIA AVE NW, 6A
WASHINGTON, DC 20037
Internal Medicine (Geriatric Medicine)
2150 PENNSYLVANIA AVE NW, DEPARTMENT OF MEDICINE
WASHINGTON, DC 20037
Internal Medicine
2150 PENNSYLVANIA AVE NW, SUITE 2-105
WASHINGTON, DC 20037

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hemanth Gavini's NPI number?

The NPI number for Hemanth Gavini is 1073522504. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Hemanth Gavini located?

Hemanth Gavini practices at 2150 Pennsylvania Ave NW, Washington, DC 20037. The listed phone number is (202) 741-2160.

What is Hemanth Gavini's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Hemanth Gavini enrolled in Medicare?

Yes. Hemanth Gavini is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Hemanth Gavini accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and CareSource list Hemanth Gavini as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Hemanth Gavini affiliated with any hospitals?

According to CMS data, Hemanth Gavini is affiliated with Parkview Regional Medical Center and Faith Regional Health Services.

When was this NPI record last updated?

The NPPES record for Hemanth Gavini was last updated on November 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.