Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Manjushree Gautam, MD

Individual provider Hepatology Physician · NPI 1831172725

Dr. Manjushree Gautam, MD is a Gastroenterology in Fort Worth, Texas. Qualified in 1993, 33 years ago. Practices with Healthtexas Provider Network, a 2,539-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona and Texas.

Years since qualifying
33
Licensed in
AZ, TX
In the registry since
2005
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1250 8th Ave Ste 515
Fort Worth, TX 76104-4124
Phone: (817) 922-4675
Fax: (817) 922-4645
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence N6309 (TX)
Hepatology Physician Taxonomy 207RI0008X · Licence 33778 (AZ)
Transplant Hepatology Physician Taxonomy 207RT0003X · Licence N6309 (TX)

Record details

NPI number1831172725
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 23, 2005
Last updated in NPPESJuly 21, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Healthtexas Provider Network — 2539 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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