DR. KANAKADURGA GOVINDARAJU (MD) – Family Medicine Physician, NPI 1003998840

DR. KANAKADURGA GOVINDARAJU (MD) is a healthcare provider. based in Austin, Texas. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 4301065815 (MI). The NPI Number for DR. KANAKADURGA GOVINDARAJU (MD) is 1003998840

Main info

Female
Name
DR. KANAKADURGA GOVINDARAJU (MD)
NPI
1003998840
Phone
(512) 397-3360
Address
4107 SPICEWOOD SPRINGS RD STE 100
Enumeration Date
20 October 2006
Last Update Date
19 January 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

Provider Addresses for DR. KANAKADURGA GOVINDARAJU (MD)

  • 4107 SPICEWOOD SPRINGS RD STE 100

    AUSTIN, TX 787598645

    Phone: (512) 397-3360

    Fax: (512) 343-7107

    Type: Mailing

  • 147, Elmhurst Drive, Goforth Plaza, Kyle, Hays County, Texas, 78640, United States

    SUITE 200

    KYLE, TX 786406117

    Phone: (512) 268-2929

    Fax: (512) 268-2930

    Type: Mailing

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: 2008-06-05

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
I20080605000139IFamily PracticeTXTBD

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 78759)

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Reviews

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Frequently asked questions

Is DR. KANAKADURGA GOVINDARAJU (MD) listed with a National Provider Identifier?
Yes — DR. KANAKADURGA GOVINDARAJU (MD) has NPI 1003998840 on file in the registry.
Would DR. KANAKADURGA GOVINDARAJU (MD) appear as active to a payer?
You can treat DR. KANAKADURGA GOVINDARAJU (MD) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DR. KANAKADURGA GOVINDARAJU (MD)?
DR. KANAKADURGA GOVINDARAJU (MD)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. KANAKADURGA GOVINDARAJU (MD)?
Directory geography for DR. KANAKADURGA GOVINDARAJU (MD) centers on Austin, Texas.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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