DR. KANAKADURGA GOVINDARAJU MD NPI 1003998840

NPI Information

  • NPI: 1003998840
  • Provider Name: DR. KANAKADURGA GOVINDARAJU, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4107 SPICEWOOD SPRINGS RD STE 100
    AUSTIN, TX
    ZIP 78759
  • Phone: (512) 397-3360

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NPI Details

DR. Kanakadurga Govindaraju, MD is a family medicine in Austin, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Kanakadurga Govindaraju, MD NPI is 1003998840. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4107 SPICEWOOD SPRINGS RD STE 100
AUSTIN, TX
ZIP 78759-645
Phone: (512) 397-3360
Fax: (512) 343-7107

The NPI 1003998840 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/20/2006 and was last updated on 1/19/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine4301065815MICHIGANNo
2207QH0002XFamily MedicineHospice and Palliative MedicineL3318TEXASNo
3207Q00000XFamily MedicineL3318TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1193186707MEDICAIDTEXAS
2193186712MEDICAIDTEXAS
3193186706MEDICAIDTEXAS
4106362OTHERTEXASMEDICARE
5193618708MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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