Individual provider Active NPI

Sameer Devchandbhai Gadani, MD

  • Vascular & Interventional Radiology Physician
  • Minneapolis, MN
National Provider Identifier
1013110477
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
19698 Issued in MN
Practice address
420 Delaware St SE
MMC 293
Minneapolis, MN 55455-0341
Phone
(612) 625-7634
NPI assigned
Jun 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 19698 MN Primary

Addresses

Primary practice location

420 Delaware St SE
MMC 293
Minneapolis, MN 55455-0341

Mailing address

635 Prairie Center Dr Apt 267
Eden Prairie, MN 55344-5401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130827000180 MO Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 4789746280 Reassigns benefits to 1 organization
I20190624000053 OH Practitioner - Diagnostic Radiology 4789746280 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-9262

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19698MNMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wooster Clinic, LLC CurrentSince May 22, 2019 Accepting new patients
SSM Cardinal Glennon Childrens Hospital CurrentSince Nov 11, 2013 Accepting new patients
Clinic Medical Services Company CurrentSince Oct 6, 2019 Accepting new patients
The Cleveland Clinic Foundation CurrentSince May 22, 2019 Accepting new patients
SSM Cardinal Glennon Children'S Hospital CurrentSince Nov 11, 2013 Accepting new patients
Clinic Medical Services Company LLC CurrentSince Oct 6, 2019 Accepting new patients
SSM St. Joseph Endoscopy Center, LLC Past Accepting new patients
University of Minnesota Physicians Past Accepting new patients

Locations

7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189

1465 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 268-4070

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

9500 Euclid Ave
#3
Cleveland, OH 44195
Phone (216) 445-0873

18101 Lorain Ave
Cleveland, OH 44111
Phone (216) 476-7029

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

1740 Cleveland Rd
Wooster, OH 44691
Phone (330) 287-4500

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013110477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 PRAIRIE CENTER DR APT 267",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 DELAWARE ST SE",
            "address_2": "MMC 293",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554550341",
            "telephone_number": "612-625-7634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADANI",
        "first_name": "SAMEER",
        "middle_name": "DEVCHANDBHAI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MN",
            "license": "19698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.