DR. SHIVANI MANGIRISH GAITONDE (MD) – Urology Physician, NPI 1962962977
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
861 UROLOGY in TX
Provider Addresses for DR. SHIVANI MANGIRISH GAITONDE (MD)
4303 BUENA VISTA ST APT 310
DALLAS, TX 752054889
Phone:
Type: Mailing
5323 HARRY HINES BLVD STOP 7200
DALLAS, TX 753907200
Phone: (210) 200-9741
Type: Location
1902 MOORES LN
TEXARKANA, TX 755034610
Phone: (903) 614-3850
Fax: (903) 614-3525
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 29 Open Payments records for all available years, with a total value of $1,399.
Total Amount is formed as General ($1,399) + Research ($0) + Ownership ($0) = $1,399.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Cook Medical LLC ($527).
Total Amount
$1,399
General + Research + Ownership
Payments
29
Total payment records
General Amount
$1,399
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Cook Medical LLC | $527 |
| COLOPLAST CORP | $230 |
| Boston Scientific Corporation | $164 |
| PROCEPT BioRobotics Corporation | $140 |
| Teleflex LLC | $119 |
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: 2024-08-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240814002122 | I | Urology | TX | TBD |
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.
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 75205)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | AZ | |
| Internal Medicine | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| E N D O C R I N O L O G Y | TX | |
| Nurse Practitioner | IL | |
| - | NC | |
| Physician Assistant | LA | |
| Hospitalist, Gastroenterology | TX |
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