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DR. KAVITA ARVINDKUMAR GAJJAR M.D.
NPI 1376780429
Pediatrics in Marble Falls, TX

Active since January 12, 2009PECOS Enrolled
802 AVENUE J, MARBLE FALLS, TX 78654(877) 800-5722(830) 693-2481 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 30, 2025, Feb 24, 2021, Jul 24, 2017 (3 updates tracked since 2017).

About Dr. Kavita Arvindkumar Gajjar M.d. NPPES

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

DR. KAVITA ARVINDKUMAR GAJJAR M.D. (NPI 1376780429) is an individual pediatrics provider in Marble Falls, Texas, licensed in Texas (Q7193) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376780429
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. KAVITA ARVINDKUMAR GAJJARCredential: M.D.
Location Address802 AVENUE JMarble Falls, TX 78654-5125
Mailing Address2423 Williams Dr Ste 107Georgetown, TX 78628-3269 · (877) 800-5722
Phone(877) 800-5722
Fax(830) 693-2481
Sole ProprietorYes
Enumeration DateJanuary 12, 2009
Last NPPES UpdateJune 30, 20253 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
✔ NPI 1376780429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in TX · Q7193✔ Licensed in NY · 249620
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
802 AVENUE J, Marble Falls, TX 78654
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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 (PECOS)

Dr. Kavita Arvindkumar Gajjar M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Kavita Gajjar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lone Star Circle Of Care
Same address
Federally Qualified Health Center (FQHC)
802 AVENUE J
Marble Falls, TX 78654
  • Reassigned Medicare billing, Texas enrollment
  • 162 clinicians in this Medicare group
NPI 1164846952 (877) 800-5722

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78654 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Other Providers at the Same Location NPPES 3

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

DR. RICARDO GARCIA JR. M.D
Family Medicine
802 AVENUE J
MARBLE FALLS, TX 78654
Burnet County (877) 800-5722
LONE STAR CIRCLE OF CARE
Clinic/Center (Federally Qualified Health Center (FQHC))
802 AVENUE J
MARBLE FALLS, TX 78654
Burnet County (877) 800-5722
MARBLE FALLS IMAGING CENTER LP
Radiology (Diagnostic Radiology)
802 AVENUE J
MARBLE FALLS, TX 78654
Burnet County (830) 693-9729

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 Kavita Gajjar's NPI number?

The NPI number for Kavita Gajjar is 1376780429. It was assigned to this individual provider in the NPPES registry on January 12, 2009.

Where is Kavita Gajjar located?

Kavita Gajjar practices at 802 Avenue J, Marble Falls, TX 78654. The listed phone number is (877) 800-5722.

What is Kavita Gajjar's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kavita Gajjar enrolled in Medicare?

Yes. Kavita Gajjar is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kavita Gajjar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kavita Gajjar reassigns Medicare benefits to Lone Star Circle Of Care (Marble Falls, 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 Kavita Gajjar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kavita Gajjar accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 9 other insurers list Kavita Gajjar 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.

When was this NPI record last updated?

The NPPES record for Kavita Gajjar was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.