Individual provider Active NPI

Amy Gandhi, M.D.

  • Internal Medicine Physician
  • Sugar Land, TX
National Provider Identifier
1053844233
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
T9908 Issued in TX
Practice address
6903 Brisbane CT Ste 100
Sugar Land, TX 77479-6845
Phone
(832) 886-4774
NPI assigned
Apr 5, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X T9908 TX Primary

Addresses

Primary practice location

6903 Brisbane CT Ste 100
Sugar Land, TX 77479-6845

Mailing address

6903 Brisbane CT Ste 100
Sugar Land, TX 77479-6845
Phone (832) 886-4774

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
I20230508000120 TX Practitioner - Internal Medicine 2961829338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Capital Med Office Management PLLCGroup PAC ID 8628445798, 2 clinicians

Practice addresses (Care Compare)

6903 Brisbane CT
Suite 100
Sugar Land, TX 77479-6845
Phone (832) 886-4774

Hospital & facility affiliations

  • Houston Methodist Sugarland Hospital Hospital, Sugar Land, TX, CCN 450820

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T9908TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Med Office Management PLLC Single Specialty CurrentSince Apr 15, 2023 Accepting new patients
Amistad Multi Specialty Medical Group Inc. Single Specialty PastSince Nov 16, 2020 Accepting new patients

Locations

6903 Brisbane Ct
Ste 100
Sugar Land, TX 77479
Phone (832) 724-0526

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EEBBDD/Endpoint/EEBBDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/EEBBDD

Organizations & group practices 2

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 1

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": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1053844233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6903 BRISBANE CT STE 100",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774796845",
            "telephone_number": "832-886-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6903 BRISBANE CT STE 100",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774796845",
            "telephone_number": "832-886-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDHI",
        "first_name": "AMY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-05",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "T9908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.