Active NPI
Balbir Gandhi M.D.P.C
- Neurology Physician
- Wyandotte, MI
National Provider Identifier
1013090182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 4301056606
- Legal business name
- BALBIR GANDHI M.D.P.C
- Practice address
- 2025 Ford Ave
Wyandotte, MI 48192-2312 - Phone
- (734) 281-3080
- Fax
- (734) 281-8815
- NPI assigned
- Oct 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Balbir Gandhi, MD
- Title
- President
- Phone
- (734) 281-3080
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 4301056606 | MI | Primary |
Addresses
Primary practice location
2025 Ford Ave
Wyandotte, MI 48192-2312
Mailing address
2025 Ford Ave
Wyandotte, MI 48192-2312
Phone (734) 281-3080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080717000504 | MI | Part B Supplier - Clinic/Group Practice | 8820161201 |
Receives reassigned benefits from 3 practitioners Practice locations: Wyandotte, MI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Wyandotte, MI
- NPI 1700173903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193616000000",
"number": "1013090182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2025 FORD AVE",
"city": "WYANDOTTE",
"state": "MI",
"postal_code": "481922312",
"telephone_number": "734-281-3080",
"fax_number": "734-281-8815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2025 FORD AVE",
"city": "WYANDOTTE",
"state": "MI",
"postal_code": "481922312",
"telephone_number": "734-281-3080",
"fax_number": "734-281-8815"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BALBIR GANDHI M.D.P.C",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-23",
"last_updated": "2007-10-29",
"status": "A",
"authorized_official_last_name": "GANDHI",
"authorized_official_first_name": "BALBIR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "734-281-3080",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MI",
"license": "4301056606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wyandotte, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.