DR. KALYANI GAVINI (M.D.) – Child & Adolescent Psychiatry Physician, NPI 1730214206

DR. KALYANI GAVINI (M.D.) is a healthcare provider. based in Centreville, Illinois. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. 2014023572 (MO). The NPI Number for DR. KALYANI GAVINI (M.D.) is 1730214206

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. KALYANI GAVINI (M.D.)
NPI
1730214206
Phone
(618) 332-2740
Address
6000 BOND AVENUE
Enumeration Date
23 February 2007
Last Update Date
14 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6183322740
Graduation Year
2002 (24 years ago)
PAC ID
6901993120
Group Practice PAC ID
1456256874
Professional Enrollment ID
I20190307003002
Address ID
IL622072328CE6000XAVEX300

Contacts

Secure Messaging
kalyani.gavini.1@9559.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

821 PSYCHIATRY in MO

Provider Addresses for DR. KALYANI GAVINI (M.D.)

  • 6000 BOND AVENUE

    MOTHER AND CHILD CENTER

    CENTREVILLE, IL 62207

    Phone: (618) 332-2740

    Fax: (618) 332-2610

    Type: Mailing

  • 1032 CROSSWINDS CT

    WENTZVILLE, MO 633854836

    Phone: (844) 853-8937

    Type: Location

  • 6000 BOND AVE

    CENTREVILLE, IL 622072328

    Phone: (618) 332-2083

    Fax: (618) 337-6039

    Type: Mailing

  • 1032 Crosswinds Ct

    Wentzville, MO 633854836

    Phone: (844) 853-8937

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $61.

Total Amount is formed as General ($61) + Research ($0) + Ownership ($0) = $61.

Last reported payment date: 2024-11-04 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($25).

Total Amount

$61

General + Research + Ownership

Payments

3

Total payment records

General Amount

$61

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-04

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-11-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20071103000095IPsychiatryILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62207)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1456256874View full group profile
NameSpecialtyState
-IL
-IL
Family PracticeID
Mental Health CounselorIL
-IL
Family PracticeIL
Nurse PractitionerIL
-IL
Family Practice, Emergency MedicineIL
Cardiovascular Disease (Cardiology)IL

Reviews

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Frequently asked questions

What is the standard ID for DR. KALYANI GAVINI (M.D.) in the U.S.?
In the U.S., DR. KALYANI GAVINI (M.D.) is identified by NPI 1730214206.
Does the public listing show DR. KALYANI GAVINI (M.D.) as active?
DR. KALYANI GAVINI (M.D.)'s NPI record reflects an active status in NPPES.
Which specialty label fits DR. KALYANI GAVINI (M.D.)?
NPPES ties DR. KALYANI GAVINI (M.D.) to Child & Adolescent Psychiatry Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. KALYANI GAVINI (M.D.)?
DR. KALYANI GAVINI (M.D.) is associated with Centreville, Illinois in the same public data insurers reference.
Can I export DR. KALYANI GAVINI (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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