Gavino Dermatology, PLLC
NPI 1619609682 · Dermatology Physician · Liberty Hill, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gavino Dermatology, PLLC is a Dermatology Physician organization in Liberty Hill, TX (NPI 1619609682).
Provider details
- NPI number
- 1619609682
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Alde Carlo Gavino, Md/Owner(737) 377-3143
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Dermatopathology Physician207ND0900X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 3502 Wild Cherry Dr Bldg 1Lakeway, TX 78738-1826Phone: (737) 377-3143Fax: (737) 200-8237
Registry dates
- Enumerated
- 2022-06-28
- Last updated
- 2026-05-21
- Certified
- 2026-05-21
Frequently asked questions
- What is Gavino Dermatology, PLLC's NPI number?
- Gavino Dermatology, PLLC's National Provider Identifier (NPI) is 1619609682, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gavino Dermatology, PLLC?
- Gavino Dermatology, PLLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Gavino Dermatology, PLLC located?
- Gavino Dermatology, PLLC's practice location on file with NPPES is 9073 W State Highway 29 Ste 108, Liberty Hill, TX 78642-2396.
- What is Gavino Dermatology, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Gavino Dermatology, PLLC is (737) 377-3143.
- Does Gavino Dermatology, PLLC accept Medicare?
- Gavino Dermatology, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Gavino Dermatology, PLLC?
- The authorized official listed on Gavino Dermatology, PLLC's NPPES record is Alde Carlo Gavino, Md/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gavino Dermatology, PLLC's NPI active?
- Yes — Gavino Dermatology, PLLC's NPI (1619609682) is active in the NPPES registry as of the last update on 2026-05-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.