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MANSI GAITONDE M.D.
NPI 1164842894
Pediatrics - Pediatric Cardiology in Dallas, TX

Active since April 21, 2014PECOS EnrolledAccepts Medicare Assignment
74.59/100
CMS Quality Rating
5323 HARRY HINES BLVD, DALLAS, TX 75390(214) 730-5437 Get Directions Write a Review

NPPES record last updated: November 3, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 3, 2021, Jun 27, 2017 (2 updates tracked since 2017).

About Mansi Gaitonde M.d. NPPES

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

MANSI GAITONDE M.D. (NPI 1164842894) is an individual pediatric cardiology provider in Dallas, Texas, licensed in Texas (T2373) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Childrens Medical Ctr Of Dallas, and is a graduate of University Of Texas Southwestern Medical School At Dallas (2014).

NPPES Registry Identity

NPI1164842894
Entity TypeIndividualFemale
Primary Taxonomy2080P0202X
Provider Legal NameMANSI GAITONDECredential: M.D.
Location Address5323 HARRY HINES BLVDDallas, TX 75390-7208
Mailing AddressPo Box 845347Dallas, TX 75284-5347 · (214) 730-5437
Phone(214) 730-5437
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2014
Enumeration DateApril 21, 2014
Last NPPES UpdateNovember 3, 20212 updates tracked since enumeration
NPPES CertifiedNovember 3, 2021
✔ NPI 1164842894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in TX · T2373
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
5323 HARRY HINES BLVD, Dallas, TX 75390
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mansi Gaitonde M.d. 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 ID3274939186
PECOS Enrollment IDI20210901000498
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.

Medicare Billing Reassignment

Medicare enrollment records show Mansi Gaitonde reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The University Of Texas Southwestern Medical Center At Dallas
Same address
Physical Therapist
5323 HARRY HINES BLVD
Dallas, TX 75390
  • Reassigned Medicare billing, Texas enrollment
  • 5,299 clinicians in this Medicare group
NPI 1386619237 (214) 645-0624

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Childrens Medical Ctr Of Dallas

Childrens · Dallas, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number453302
Location1935 Medical District DriveDallas, TX 75235 · Dallas County
Emergency services

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.

74.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.12
Promoting Interoperability100
Improvement Activities40
Cost59.2

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.

MRS. TANYA MARIE PLETIN PA-C
Physician Assistant
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-6400
BENJAMIN SETH MARTINEZ MD
Anesthesiology
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-3111
LEE M. LUNSFORD MD
Anesthesiology
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-8000
TING-YI CHEN M.D.
Internal Medicine (Infectious Disease)
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 645-2800
DR. STEPHANIE C JONES MD
Pain Medicine (Interventional Pain Medicine)
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-9374
DR. KATHERINE ANNA JOHNSON MD
Pediatrics
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 456-0771
ALEX KOYFMAN M.D.
Emergency Medicine
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 645-0624
MR. JAWAHAR JAGARAPU M.D
Pediatrics (Neonatal-Perinatal Medicine)
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-3903

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 Mansi Gaitonde's NPI number?

The NPI number for Mansi Gaitonde is 1164842894. It was assigned to this individual provider in the NPPES registry on April 21, 2014.

Where is Mansi Gaitonde located?

Mansi Gaitonde practices at 5323 Harry Hines Blvd, Dallas, TX 75390. The listed phone number is (214) 730-5437.

What is Mansi Gaitonde's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Mansi Gaitonde enrolled in Medicare?

Yes. Mansi Gaitonde 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.

Which organization bills Medicare for Mansi Gaitonde's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mansi Gaitonde reassigns Medicare benefits to The University Of Texas Southwestern Medical Center At Dallas (Dallas, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mansi Gaitonde's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mansi Gaitonde accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Mansi Gaitonde 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 Mansi Gaitonde affiliated with any hospitals?

According to CMS data, Mansi Gaitonde is affiliated with Childrens Medical Ctr Of Dallas.

When was this NPI record last updated?

The NPPES record for Mansi Gaitonde was last updated on November 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.