NPIMap

Individual provider Active NPI

Harivadan K Gandhi, M.D.

  • Pediatrics Physician
  • Chicago, IL
National Provider Identifier
1164525499
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036072781 Issued in IL
Practice address
7906 S Crandon Ave Ste 1
Chicago, IL 60617-1146
Phone
(773) 488-7744
Fax
(773) 488-3669
NPI assigned
Sep 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036072781 IL Primary

Addresses

Primary practice location

7906 S Crandon Ave Ste 1
Chicago, IL 60617-1146

Mailing address

143 Silo Ridge Road N
Orland Park, IL 60467
Phone (773) 488-7744

Other practice location 1

1851 Sibley Blvd
Calumet City, IL 60409-2252
Phone (708) 868-2300

Other identifiers 1

IdentifierTypeStateIssuer
036072781MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hgandhi283199@direct.myadvocateaurora.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036072781ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prabhakar J. Parikh, M.D.P.C PastSince Jan 2, 1997 Accepting new patients
Harivadan K Gandhi MD SC Pediatrics Past Accepting new patients
Pinakinprasad Dave, MD, SC PastSince Jan 1, 1999 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JAACCA/Endpoint/JAACCA
  • Direct secure messaging: hgandhi283199@direct.myadvocateaurora.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.

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1164525499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 SILO RIDGE ROAD N",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "60467",
            "telephone_number": "773-488-7744",
            "fax_number": "773-488-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7906 S CRANDON AVE STE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606171146",
            "telephone_number": "773-488-7744",
            "fax_number": "773-488-3669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1851 Sibley Blvd",
            "address_purpose": "LOCATION",
            "city": "Calumet City",
            "state": "IL",
            "postal_code": "604092252",
            "country_code": "US",
            "telephone_number": "708-868-2300",
            "fax_number": "708-868-2304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANDHI",
        "first_name": "HARIVADAN",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2023-03-17",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036072781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036072781",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hgandhi283199@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7906 S Crandon Ave Ste 1",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606171146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.