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Dr. Manjushree Gautam, M.D.

Gastroenterology Physician in Fort Worth, TX · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1831172725

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Registry record

Entity type Individual (Type 1)
Name Dr. Manjushree Gautam
Credential M.D.
Sex Female
Practice address 1250 8th Ave, Suite 515, Fort Worth, TX, 76104
Phone (817) 922-4675
Fax (817) 922-4645
Enumeration date Nov 23, 2005
Last updated in NPPES Jul 21, 2015

Taxonomy & licenses

207RI0008X Hepatology Physician Allopathic & Osteopathic Physicians · License 33778 (AZ) Secondary
207RG0100X Gastroenterology Physician Allopathic & Osteopathic Physicians · License N6309 (TX) Primary
207RT0003X Transplant Hepatology Physician Allopathic & Osteopathic Physicians · License N6309 (TX) Secondary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
8BN847 Other TX BCBSTX
217199301 Medicaid TX -
935554 Medicaid AZ -
86080015085259D008 Other AZ TRIWEST
P00278312 Other AZ RAILROAD MEDICARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
What specialty is Manjushree Gautam?
Manjushree Gautam is registered in NPPES with the primary taxonomy of Gastroenterology Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-07-21.