DR. JYOTHSNA GATTINENI (M.D.) – Pediatrics Physician, NPI 1003022765

DR. JYOTHSNA GATTINENI (M.D.) is a healthcare provider. based in Dallas, Texas. specializing in PEDIATRIC MEDICINE, NEPHROLOGY. They hold the professional credentials M.D.. They hold a License No. N0036 (TX). The NPI Number for DR. JYOTHSNA GATTINENI (M.D.) is 1003022765

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. JYOTHSNA GATTINENI (M.D.)
NPI
1003022765
Phone
(214) 645-0600
Address
PO BOX 845347
Enumeration Date
16 May 2007
Last Update Date
2 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4693037000
Graduation Year
1994 (32 years ago)
PAC ID
5799835526
Group Practice PAC ID
0648188250
Professional Enrollment ID
I20090616000618
Address ID
TX750243214PL7601XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Digital endpointsOther names

2,256 PEDIATRIC MEDICINE in TX

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Provider Addresses for DR. JYOTHSNA GATTINENI (M.D.)

  • Band Box Place, Dallas, Dallas County, Texas, 75244, United States

    DALLAS, TEXAS

    DALLAS, TX 752845347

    Phone: (214) 645-0600

    Fax: (214) 645-2762

    Type: Mailing

  • University of Texas Southwestern Medical Center, 5323, Harry Hines Boulevard, Dallas, TX, Dallas, Dallas County, Texas, 75390, United States

    DALLAS, TX 753907201

    Phone: (214) 648-3438

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2009-06-16

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
I20090616000618IPediatric MedicineTXTBD

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 75284)

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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: 0648188250View full group profile
NameSpecialtyState
-TX
Diagnostic RadiologyTX
Anesthesiology, Pain ManagementFL
-TX
Internal MedicineTX
-TX
U R O L O G YTX
-TX
-TX
Certified Registered Nurse Anesthetist (Crna)TX

Reviews

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Frequently asked questions

Can I use this page to confirm DR. JYOTHSNA GATTINENI (M.D.)'s NPI?
Yes. DR. JYOTHSNA GATTINENI (M.D.) is listed with NPI 1003022765 in the public NPI dataset.
Does the file indicate DR. JYOTHSNA GATTINENI (M.D.) is practicing under active NPI?
Directory data currently reports DR. JYOTHSNA GATTINENI (M.D.) as active.
What is DR. JYOTHSNA GATTINENI (M.D.)'s specialty?
The listing groups DR. JYOTHSNA GATTINENI (M.D.) with Pediatrics Physician. Clinical services aligned with this taxonomy classification.
Where is DR. JYOTHSNA GATTINENI (M.D.) based?
DR. JYOTHSNA GATTINENI (M.D.) is tied to Dallas, Texas in the data we show; additional addresses may exist on the full record.
Why does DR. JYOTHSNA GATTINENI (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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