DR. SHIVANI MANGIRISH GAITONDE MD
NPI 1962962977
Urology in Texarkana, TX

Active since March 25, 2019PECOS EnrolledAccepts Medicare Assignment
1902 MOORES LN, TEXARKANA, TX 75503(903) 614-3850(903) 614-3525 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Shivani Mangirish Gaitonde Md NPPES

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

DR. SHIVANI MANGIRISH GAITONDE MD (NPI 1962962977) is an individual urology provider in Texarkana, Texas, licensed in Texas (V2735) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Christus Mother Frances Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1962962977
Entity TypeIndividualFemale
Primary Taxonomy208800000X
Provider Legal NameDR. SHIVANI MANGIRISH GAITONDECredential: MD
Location Address1902 MOORES LNTexarkana, TX 75503-4610
Mailing Address1902 Moores LnTexarkana, TX 75503-4610 · (903) 614-3850 · Fax (903) 614-3525
Fax(903) 614-3525
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 25, 2019
Last NPPES UpdateJuly 31, 2024
NPPES CertifiedJuly 31, 2024
✔ NPI 1962962977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in TX · V2735
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1902 MOORES LN, Texarkana, TX 75503

Accepted 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

Dr. Shivani Mangirish Gaitonde 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 ID9537607148
PECOS Enrollment IDI20240814002122
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 Shivani Gaitonde reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urology
1902 MOORES LN
Texarkana, TX 75503
  • Reassigned Medicare billing, Texas enrollment
  • 41 clinicians in this Medicare group
Family Medicine
520 DOUGLAS BLVD
Tyler, TX 75702
  • Reassigned Medicare billing, Texas enrollment
  • 2,745 clinicians in this Medicare group

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 10

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.

Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
93 services73 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.
43 services33 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
32 services31 patients
Bacterial urine culture 87088
A bacterial urine culture is a laboratory test that checks for bacteria in your urine. It helps identify the type of bacteria causing an infection, enabling the selection of the most effective treatment. The test involves collecting a urine sample in a sterile container.
27 services25 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.
25 services24 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
21 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Christus Mother Frances Hospital

Acute Care Hospitals · Tyler, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450102
Location800 East DawsonTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Christus St Michael Health System

Acute Care Hospitals · Texarkana, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450801
Location2600 St Michael DrTexarkana, TX 75503 · Bowie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75503 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
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
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 13

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

Clinic/Center (Ambulatory Surgical)
1902 MOORES LN, SUITE B
TEXARKANA, TX 75503
Specialist
1902 MOORES LN
TEXARKANA, TX 75503
Urology
1902 MOORES LN
TEXARKANA, TX 75503
Durable Medical Equipment & Medical Supplies
1902 MOORES LN
TEXARKANA, TX 75503
Nurse Practitioner (Family)
1902 MOORES LN
TEXARKANA, TX 75503
Urology
1902 MOORES LN
TEXARKANA, TX 75503
Urology
1902 MOORES LN
TEXARKANA, TX 75503
Nurse Anesthetist, Certified Registered
1902 MOORES LN
TEXARKANA, TX 75503

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 Shivani Gaitonde's NPI number?

The NPI number for Shivani Gaitonde is 1962962977. It was assigned to this individual provider in the NPPES registry on March 25, 2019.

Where is Shivani Gaitonde located?

Shivani Gaitonde practices at 1902 Moores Ln, Texarkana, TX 75503. The listed phone number is (903) 614-3850.

What is Shivani Gaitonde's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Shivani Gaitonde enrolled in Medicare?

Yes. Shivani 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 organizations bill Medicare for Shivani Gaitonde's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shivani Gaitonde reassigns Medicare benefits to 2 organizations: Collom & Carney Clinic Association (Texarkana, TX) and Christus Trinity Clinic Texas (Tyler, 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 Shivani Gaitonde's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shivani Gaitonde accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 7 other insurers list Shivani 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 Shivani Gaitonde affiliated with any hospitals?

According to CMS data, Shivani Gaitonde is affiliated with Christus Mother Frances Hospital and Christus St Michael Health System.

When was this NPI record last updated?

The NPPES record for Shivani Gaitonde was last updated on July 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.