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GAURI G. KANHERE M.D.
NPI 1710910773
Internal Medicine in Rio Grande City, TX

Active since July 09, 2006PECOS EnrolledAccepts Medicare Assignment
92.53/100
CMS Quality Rating
131 N FM 3167 STE C, RIO GRANDE CITY, TX 78582(956) 352-1344(956) 352-1343 Get Directions Write a Review

NPPES record last updated: July 13, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 13, 2023, Feb 8, 2022, May 15, 2020 (3 updates tracked since 2020).

About Gauri G. Kanhere M.d. NPPES

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

GAURI G. KANHERE M.D. (NPI 1710910773) is an individual internal medicine provider in Rio Grande City, Texas, licensed in Texas (L2961) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Starr County Memorial Hospital, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1710910773
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameGAURI G. KANHERECredential: M.D.
Location Address131 N FM 3167 STE CRio Grande City, TX 78582-7009
Mailing Address131 N Fm 3167 Ste CRio Grande City, TX 78582-7009 · (956) 352-1344 · Fax (956) 352-1343
Phone(956) 352-1344
Fax(956) 352-1343
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateJuly 9, 2006
Last NPPES UpdateJuly 13, 20233 updates tracked since enumeration
NPPES CertifiedJuly 13, 2023
✔ NPI 1710910773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · L2961
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
131 N FM 3167 STE C, Rio Grande City, TX 78582
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Other Identifiers 2

Other453812TX · Medicare Rural Clinic
Medicaid126933404TX

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

Gauri G. Kanhere 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 ID3274429030
PECOS Enrollment IDI20040226001224
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 Reassignments

2

Medicare enrollment records show Gauri Kanhere reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gauri Kanhere PLLC
Same address
Internal Medicine
131 N FM 3167 STE C
Rio Grande City, TX 78582
  • Reassigned Medicare billing, Texas enrollment
  • 8 clinicians in this Medicare group
NPI 1649891037 (956) 352-1344
Renaissance Medical Foundation
42 mi
Internal Medicine
5501 S MCCOLL RD
Edinburg, TX 78539
  • Reassigned Medicare billing, Texas enrollment
  • 219 clinicians in this Medicare group
NPI 1467633867 (956) 362-3300

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

Areas of Expertise CMS Part B claims 4

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
696 services81 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
423 services59 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
15 services12 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
13 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Starr County Memorial Hospital

Acute Care Hospitals · Rio Grande City, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450654
Location128 N Fm Rd 3167Rio Grande City, TX 78582 · Starr County
Emergency services Birthing friendly

Doctors Hosptal At Renaissance

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipPhysician
CMS Certification Number450869
Location5501 South MccollEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78582 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
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.

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.

92.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.45
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers64 claims137 services$6.49 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers51 claims56 services$1.11 avg. paid by Medicare
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
2 suppliers15 claims429 services$4.17 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers31 claims31 services$62.63 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$48.20 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

GAURI KANHERE PLLC
Clinic/Center (Rural Health)
131 N FM 3167 STE C
RIO GRANDE CITY, TX 78582
Starr County (956) 352-1344
EVA BLANCO
Nurse Practitioner (Family)
131 N FM 3167 STE C
RIO GRANDE CITY, TX 78582
Starr County (956) 352-1344
TIFFANY PAIGE SMEDLEY APRN-CNP
Nurse Practitioner (Family)
131 N FM 3167 STE C
RIO GRANDE CITY, TX 78582
Starr County (956) 352-1344
MICHELLE GUERRA APRN-CNP
Nurse Practitioner (Family)
131 N FM 3167 STE C
RIO GRANDE CITY, TX 78582
Starr County (956) 352-1344
GAURI KANHERE PLLC
Internal Medicine
131 N FM 3167 STE C
RIO GRANDE CITY, TX 78582
Starr County (956) 352-1344

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 Gauri Kanhere's NPI number?

The NPI number for Gauri Kanhere is 1710910773. It was assigned to this individual provider in the NPPES registry on July 9, 2006.

Where is Gauri Kanhere located?

Gauri Kanhere practices at 131 N Fm 3167 Ste C, Rio Grande City, TX 78582. The listed phone number is (956) 352-1344.

What is Gauri Kanhere's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Gauri Kanhere enrolled in Medicare?

Yes. Gauri Kanhere 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 organizations bill Medicare for Gauri Kanhere's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gauri Kanhere reassigns Medicare benefits to 2 organizations: Gauri Kanhere PLLC (Rio Grande City, TX) and Renaissance Medical Foundation (Edinburg, TX). Each 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 Gauri Kanhere's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gauri Kanhere 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 2 other insurers list Gauri Kanhere 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 Gauri Kanhere affiliated with any hospitals?

According to CMS data, Gauri Kanhere is affiliated with Starr County Memorial Hospital and Doctors Hosptal At Renaissance.

When was this NPI record last updated?

The NPPES record for Gauri Kanhere was last updated on July 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.