Individual provider Active NPI

Mukund Gande, MD

  • Anesthesiology Physician
  • Chicago, IL
National Provider Identifier
1104311810
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
8740420 Issued in WI
Practice address
420 E Superior St
Chicago, IL 60611-4494
Phone
(609) 721-1940
NPI assigned
Jun 25, 2018
Last updated
Sep 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 8740420 WI Primary
Anesthesiology Physician 207L00000X 125.073244 IL
Anesthesiology Physician 207L00000X 036.160344 IL
Anesthesiology Physician 207L00000X 2023043678 MO

Addresses

Primary practice location

420 E Superior St
Chicago, IL 60611-4494

Mailing address

1516 N Western Ave Apt 4S
Chicago, IL 60622-2418
Phone (609) 721-1940

Other practice location 1

1956 W Erie St Unit 3E
Chicago, IL 60622-5671
Phone (609) 721-1940

Other practice location 2

1000 Health Center Dr
Mattoon, IL 61938-4644
Phone (217) 258-2440

Other practice location 3

3015 N Ballas Rd Dept Of
Saint Louis, MO 63131-2329
Phone (800) 862-9980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO, WI3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20230711002927 IL Practitioner - Anesthesiology 9537417407 Reassigns benefits to 2 organizations
I20240301001134 MO Practitioner - Anesthesiology 9537417407 Reassigns benefits to 4 organizations
I20260623000980 WI Practitioner - Anesthesiology 9537417407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Anesthesia Providers SCGroup PAC ID 9830480581, 180 clinicians
Sarah Bush Lincoln Health CenterGroup PAC ID 5092614867, 411 clinicians

Practice addresses (Care Compare)

1 Memorial Dr
Alton, IL 62002-6722
Phone (618) 463-7311

10 Hospital Dr
Saint Peters, MO 63376-1659
Phone (636) 916-9000

1000 Health Ctr Dr
Mattoon, IL 61938-4644
Phone (217) 258-2525

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.160344ILMDAnesthesiology Physician
125.073244ILMDAnesthesiology Physician
2023043678MOMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Anesthesia Providers S.C Anesthesiology CurrentSince Jul 16, 2023 Accepting new patients
SSM Health Care Group Anesthesiology CurrentSince Jun 1, 2024 Accepting new patients
SSM Health Slu Hospital Anesthesia Physician Billing, LLC Anesthesiology CurrentSince Jul 15, 2024 Accepting new patients
Washington University CurrentSince Mar 1, 2025 Accepting new patients
Missouri Baptist Medical Center Anesthesiology CurrentSince Jan 16, 2024 Accepting new patients
Sarah Bush Lincoln Health Center Current Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Aug 21, 2023 Accepting new patients
SSM Health Care Group CurrentSince Jun 1, 2024 Accepting new patients
Washington University CurrentSince Mar 1, 2025 Accepting new patients

Locations

1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240

4500 Memorial Dr
Belleville, IL 62226
Phone (618) 233-7750

1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389

101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730

1 Barnes Hsp Plz
Saint Louis, MO 63110
Phone (314) 273-4966

10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647

11133 Dunn Rd
Saint Louis, MO 63136
Phone (314) 653-5000

1201 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 257-1320

1225 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 257-3390

3015 N Ballas Rd
Saint Louis, MO 63131
Phone (314) 996-5330

10 Hospital Dr
Saint Peters, MO 63376
Phone (636) 394-2522

265 Brookview Centre Way
Ste 203
Knoxville, TN 37919
Phone (865) 985-7114

Organizations & group practices 10

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.

Hospital & facility affiliations 2

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": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1104311810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 N WESTERN AVE APT 4S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222418",
            "telephone_number": "609-721-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E SUPERIOR ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114494",
            "telephone_number": "609-721-1940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1956 W Erie St Unit 3E",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606225671",
            "country_code": "US",
            "telephone_number": "609-721-1940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Health Center Dr",
            "address_purpose": "LOCATION",
            "city": "Mattoon",
            "state": "IL",
            "postal_code": "619384644",
            "country_code": "US",
            "telephone_number": "217-258-2440",
            "fax_number": "217-258-2186",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3015 N Ballas Rd Dept Of",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631312329",
            "country_code": "US",
            "telephone_number": "800-862-9980",
            "fax_number": "314-362-1185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANDE",
        "first_name": "MUKUND",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-25",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "8740420",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "125.073244",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036.160344",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MO",
            "license": "2023043678",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.