Individual provider Active NPI

Hetal N. Gandhi, MD

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1013936905
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N5064 Issued in TX
Practice address
7077 Highway 6 N
Houston, TX 77095-2505
Phone
(832) 937-5905
NPI assigned
Jul 19, 2006
Last updated
Oct 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101240240 VA
Family Medicine Physician 207Q00000X 01061939A IN
Family Medicine Physician 207Q00000X N5064 TX Primary

Addresses

Primary practice location

7077 Highway 6 N
Houston, TX 77095-2505

Mailing address

7077 Highway 6 N
Houston, TX 77095-2505
Phone (832) 937-5905

Other identifiers 8

IdentifierTypeStateIssuer
1231121OtherCHA
7809815OtherAETNA
TN-0107OtherJOHN DEERE HEALTH
238422OtherVAANTHEM BLUE SHIELD
C09011OtherVATRAILBLAZER GROUP NUMBER
010309832MedicaidVA
N5064OtherTXTEXAS MEDICAL BOARD
011402D11OtherVATRAILBLAZER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100120000752 TX Practitioner - General PracticePractitioner - Family PracticePractitioner - Internal Medicine 5597764480 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centrum Medical Group PLLCGroup PAC ID 9234500984, 6 clinicians

Practice addresses (Care Compare)

7077 Hwy 6 N
Houston, TX 77095-2505
Phone (800) 218-8989

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01061939AINMDFamily Medicine Physician
0101240240VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centrum Medical Group PLLC CurrentSince Apr 23, 2024 Accepting new patients
Health and Human Services Commission CurrentSince Jun 1, 2019 Accepting new patients
Centrum Medical Group, PLLC CurrentSince Apr 23, 2024 Accepting new patients
Health and Human Services Commission Current Accepting new patients
Centrum Medical Group, PLLC Current Accepting new patients
Crosspointe Medical Clinic Family Medicine CurrentSince Nov 1, 2019 Accepting new patients
Health and Human Services Commission CurrentSince Jun 1, 2019 Accepting new patients
Family and Urgent Care, LLC Family Medicine Past Accepting new patients

Locations

9250 NW 36th St
Ste 420
Doral, FL 33178
Phone (786) 873-1805

2501 Maple St
Abilene, TX 79602
Phone (325) 692-4053

4001 Highway 36 S
Brenham, TX 77833
Phone (979) 277-1327

17515 Spring Cypress Rd
Unit 1
Cypress, TX 77429

7630 Fry Rd
Ste 300
Cypress, TX 77433
Phone (281) 463-1400

10934 I 10 East Fwy
Houston, TX 77029
Phone (713) 450-2838

11226 Southwest Fwy
Houston, TX 77031
Phone (281) 495-1980

13977 Westheimer Rd
Ste D
Houston, TX 77077
Phone (281) 558-4300

7077 Highway 6 N
Houston, TX 77095
Phone (281) 815-1644

8102 Antoine Dr
Houston, TX 77088
Phone (713) 360-2980

8498 S Sam Houston Pkwy E
Ste 100
Houston, TX 77075
Phone (832) 831-3974

1463 S Mason Rd
Katy, TX 77450
Phone (281) 771-1166

6844 N US Highway 69
Pollok, TX 75969
Phone (936) 634-3353

4894 Louetta Rd
Spring, TX 77388
Phone (281) 288-9229

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1013936905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7077 HIGHWAY 6 N",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770952505",
            "telephone_number": "832-937-5905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7077 HIGHWAY 6 N",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770952505",
            "telephone_number": "832-937-5905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDHI",
        "first_name": "HETAL",
        "middle_name": "N.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101240240",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01061939A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N5064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA",
            "identifier": "1231121",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7809815",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE HEALTH",
            "identifier": "TN-0107",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE SHIELD",
            "identifier": "238422",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAILBLAZER GROUP NUMBER",
            "identifier": "C09011",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010309832",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD",
            "identifier": "N5064",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAILBLAZER",
            "identifier": "011402D11",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.