NPIMap

Individual provider Active NPI

Saurabh Gandhi, D.O.

  • Nephrology Physician
  • Shelby Township, MI
National Provider Identifier
1093032021
Registry record updated Nov 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
5101018606 Issued in MI
Practice address
45640 Schoenherr Rd
Suite B
Shelby Township, MI 48315-6033
Phone
(586) 247-4300
Fax
(586) 532-6496
NPI assigned
Apr 30, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5101018606 MI
Nephrology Physician 207RN0300X 5101018606 MI Primary

Addresses

Primary practice location

45640 Schoenherr Rd
Suite B
Shelby Township, MI 48315-6033

Mailing address

45640 Schoenherr Rd
Suite B
Shelby Township, MI 48315-6033
Phone (586) 247-4300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130429000110 MI Practitioner - Internal Medicine 6406092915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Michigan State University College of Osteopathic Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Clair Specialty Physicians PCGroup PAC ID 6204733256, 36 clinicians

Practice addresses (Care Compare)

1221 Pine Grove Ave
Port Huron, MI 48060-3511
Phone (810) 987-5000

16151 19 Mile Rd
Clinton Township, MI 48038-1158
Phone (586) 263-8350

23857 Greenfield Rd
Southfield, MI 48075-3122
Phone (248) 569-6111

2601 Electric Ave
Lake Huron Medical Center
Port Huron, MI 48060-6587
Phone (810) 216-1500

2603 Electric Ave
Suite D
Port Huron, MI 48060-6588
Phone (810) 987-5252

2607 Electric Ave
Port Huron, MI 48060-6587
Phone (810) 982-5483

4100 River Rd
East China, MI 48054-2909
Phone (810) 329-7111

46360 Gratiot Ave
Chesterfield, MI 48051-2800
Phone (586) 949-5417

47 Dawson St
Sandusky, MI 48471-3324
Phone (810) 648-9490

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101018606MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Clair Specialty Physicians PC Nephrology CurrentSince Jul 1, 2015 Accepting new patients
Idaho Nephrology Associates, L.L.C Nephrology Past Accepting new patients
Colorado Springs Nephrology Nephrology Past Accepting new patients

Locations

4180 Hospital Dr
Ste C
East China, MI 48054

2603 Electric Ave
Ste 1
Port Huron, MI 48060
Phone (810) 824-4198

2603 Electric Ave
Ste D
Port Huron, MI 48060
Phone (810) 987-5252

23857 Greenfield Rd
Southfield, MI 48075
Phone (248) 569-6111

45640 Schoenherr Rd
Ste B
Utica, MI 48315
Phone (586) 247-4300

Interoperability endpoints

  • Direct secure messaging: saurabhgandhi@stclairspe.allscriptsdirect.net
  • Direct secure messaging: sgandhi370895@direct.hfhs.org

Organizations & group practices 3

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 10

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": "1272585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446422400000",
    "number": "1093032021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45640 SCHOENHERR RD",
            "address_2": "SUITE B",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483156033",
            "telephone_number": "586-247-4300",
            "fax_number": "586-532-6496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45640 SCHOENHERR RD",
            "address_2": "SUITE B",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483156033",
            "telephone_number": "586-247-4300",
            "fax_number": "586-532-6496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDHI",
        "first_name": "SAURABH",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-30",
        "last_updated": "2015-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101018606",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "5101018606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby Township, MI

Sources for this page

Verify at the official NPI Registry.