Active NPI
Rajesh Ramesh Gandhi, M.D.
- Surgical Critical Care Physician
- Fort Worth, TX
National Provider Identifier
1083634489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- License
- L6902
- Practice address
- 1500 S Main St Ste 303
Fort Worth, TX 76104 - Phone
- (817) 702-1172
- Fax
- (817) 702-1605
- NPI assigned
- Jul 20, 2006
- Last updated
- Aug 13, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | L6902 | TX | |
| Surgical Critical Care Physician | 2086S0102X | L6902 | TX | Primary |
Addresses
Primary practice location
1500 S Main St Ste 303
Fort Worth, TX 76104
Mailing address
PO Box 732973
Dallas, TX 75373-2973
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00413561 | Other | RAILROAD MEDICARE | |
| 161563503 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 96.38 of 100
- Quality
- 80.41
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.69
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acclaim Physician Group, Inc | Current | Accepting new patients | |
| Specialty Care of Practice Associates,PA | Past | Accepting new patients | |
| Hillcrest Surgical Associates | Past | Accepting new patients | |
| Hillcrest Physician Services | Surgery | Past | Accepting new patients |
| Practice Associates,Inc | Surgery | Past | Accepting new patients |
Locations
1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1780076562
-
dba Baylor Scott & White Medical Center Hillcrest
- Internal Medicine Physician
- Waco, TX
- NPI 1649294323
Surgery
-
- Specialist
- Waco, TX
- NPI 1326062910
-
- Specialist
- Morristown, NJ
- NPI 1215985908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534118400000",
"number": "1083634489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 732973",
"city": "DALLAS",
"state": "TX",
"postal_code": "753732973",
"fax_number": "817-702-7315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 S MAIN ST STE 303",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "76104",
"telephone_number": "817-702-1172",
"fax_number": "817-702-1605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANDHI",
"first_name": "RAJESH",
"middle_name": "RAMESH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2018-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "L6902",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "TX",
"license": "L6902",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00413561",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "161563503",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.