Doctor profile · Federal record
Dr. Manjushree Gautam, M.D.
Gastroenterology Physician (CMS: Gastroenterology) · Hepatology Physician · Transplant Hepatology Physician · Fort Worth, TX
- NPI 1831172725
- Accepts Medicare
- 33 yrs in practice
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1250 8Th Ave, Suite 515
Fort Worth, TX 761044124
(817) 922-4675
fax (817) 922-4645
Credentials & registration
- NPI registered
- November 2005 — 21 yrs on file
- Profile last updated
- July 21, 2015
- Year of graduation
- 1993 — 33 yrs since
- Specialty taxonomy
- 207RG0100X — NUCC code
- State licenses (2)
- Texas #N6309 · Arizona #33778
- Medicaid (2)
- TX #217199301 · AZ #935554
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1831172725. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
685
Distinct HCPCS
10
Medicare allowed
$72,607
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 151 | 98 | $124 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 136 | 54 | $115 | |
36415 |
Insertion of needle into vein for collection of blood sample | 101 | 64 | $8 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 75 | 42 | $75 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 72 | 51 | $177 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 30 | 29 | $89 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 30 | 29 | $166 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 28 | 28 | $163 | |
76981 |
Ultrasound scan of organ tissue for measuring elasticity | 23 | 23 | $101 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 15 | 15 | $127 |
In context: peer comparison
Among 23 peers in this city , average services per provider: 72. This provider delivers 9.5× the peer median.Open Payments
Industry payments received
All-time total
$655
Transactions
33
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| ABBVIE INC. | 19 | $413.67 | |
| Gilead Sciences, Inc. | 14 | $241.49 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
805
Patients
170
Total drug cost
$415,030
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Tacrolimus | Generic | 134 | 21 | $14,139 |
| Xifaxan (Rifaximin) | Brand | 108 | 14 | $356,380 |
| Ursodiol | Generic | 90 | 19 | $15,483 |
| Azathioprine | Generic | 84 | 19 | $5,484 |
| Spironolactone | Generic | 78 | 32 | $1,927 |
| Lactulose | Generic | 61 | 27 | $2,495 |
| Pantoprazole Sodium | Generic | 48 | 14 | $862 |
| Furosemide | Generic | 43 | 24 | $204 |
| Constulose (Lactulose) | Brand | 26 | 0 | $947 |
| Folic Acid | Generic | 25 | 0 | $106 |
Frequently asked questions
What is Dr. Manjushree Gautam's medical specialty?
Dr. Manjushree Gautam practices Gastroenterology Physician in Fort Worth, TX.
Where does Dr. Manjushree Gautam practice?
Dr. Manjushree Gautam practices at 1250 8Th Ave, Fort Worth, TX 761044124. Office phone: 8179224675.
What is Dr. Manjushree Gautam's NPI?
Dr. Manjushree Gautam's National Provider Identifier (NPI) is 1831172725, issued by NPPES.
Does Dr. Manjushree Gautam accept Medicare assignment?
Yes. Dr. Manjushree Gautam accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Manjushree Gautam commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233); Insertion of needle into vein for collection of blood sample (HCPCS 36415). Source: CMS Medicare Physician & Other Practitioners file.