Individual provider Active NPI

Fenil Gandhi, MD/MHA

  • Interventional Pain Medicine Physician
  • Bristol, PA
National Provider Identifier
1144904392
Registry record updated Jul 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
C1-0029162 Issued in DE
Practice address
501 Bath Rd
Bristol, PA 19007-3190
Phone
(929) 464-6232
NPI assigned
Jun 9, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X MD493751 PA
Family Medicine Physician 207Q00000X MT227899 PA
Interventional Pain Medicine Physician 208VP0014X 25MA12814800 NJ
Interventional Pain Medicine Physician 208VP0014X C1-0029162 DE Primary

Addresses

Primary practice location

501 Bath Rd
Bristol, PA 19007-3190

Mailing address

15105 Cross Island Pkwy Apt 4G
Whitestone, NY 11357-2603
Phone (347) 234-5545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, NJ, PA3 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
I20260427000442 DE Practitioner - Family PracticePractitioner - Pain Management 0648613927 Reassigns benefits to 1 organization
I20260427000507 NJ Practitioner - Family PracticePractitioner - Pain Management 0648613927
I20260601003421 PA Practitioner - Family PracticePractitioner - Pain Management 0648613927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Pain Management
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

15105 Cross Island Pkwy
Apt 4G
Whitestone, NY 11357-2601

2050 Lakeville Rd
Suite 2
New Hyde Park, NY 11040-1639

404 Creek Crossing Blvd
Hainesport, NJ 08036-2768

PO Box
Suite 90
Allamuchy, NJ 07820

National Provider Directory

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1686268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783036800000",
    "number": "1144904392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15105 CROSS ISLAND PKWY APT 4G",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113572603",
            "telephone_number": "347-234-5545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 BATH RD",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190073190",
            "telephone_number": "929-464-6232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDHI",
        "first_name": "FENIL",
        "name_prefix": "Dr.",
        "credential": "MD/MHA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-09",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "PA",
            "license": "MD493751",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT227899",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NJ",
            "license": "25MA12814800",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "DE",
            "license": "C1-0029162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, PA

Sources for this page

Verify at the official NPI Registry.