Individual provider Active NPI

Alok D Gandhi, DO

  • Surgery Physician
  • Rochester, NY
National Provider Identifier
1184824294
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
246690 Issued in NY
Practice address
1415Portland Ave
Suite 225
Rochester, NY 14621-3001
Phone
(585) 922-2900
Fax
(585) 922-2117
NPI assigned
Jul 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 246690 NY Primary

Addresses

Primary practice location

1415Portland Ave
Suite 225
Rochester, NY 14621-3001

Mailing address

1415 Portland Ave
Suite 225
Rochester, NY 14621-3038
Phone (585) 922-2900

Other identifiers 2

IdentifierTypeStateIssuer
J400002141OtherNYMEDICARE
02948850MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address agandhi25516@direct.rochesterregional.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080225000581 NY Practitioner - General Surgery 4789772005 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
246690NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C. Surgery CurrentSince Mar 2, 2021 Accepting new patients
Rochester General Hospital Surgery CurrentSince Sep 26, 2008 Accepting new patients
Rochester General Hospital Current Accepting new patients
Newark Wayne Community Hospital CurrentSince Aug 1, 2012 Accepting new patients
Rochester General Hospital CurrentSince Sep 26, 2008 Accepting new patients
Newark Wayne Community Hospital CurrentSince Aug 1, 2012 Accepting new patients
Rochester General Hospital Past Accepting new patients

Locations

1200 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2266

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1415 Portland Ave
Ste 225
Rochester, NY 14621
Phone (585) 922-2900

1415 Portland Ave
Ste 245
Rochester, NY 14621
Phone (585) 922-4715

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

Interoperability endpoints

  • Direct secure messaging: agandhi25516@direct.rochesterregional.org

Organizations & group practices 7

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": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1184824294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 PORTLAND AVE",
            "address_2": "SUITE 225",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146213038",
            "telephone_number": "585-922-2900",
            "fax_number": "585-922-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415PORTLAND AVE",
            "address_2": "SUITE 225",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146213001",
            "telephone_number": "585-922-2900",
            "fax_number": "585-922-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDHI",
        "first_name": "ALOK",
        "middle_name": "D",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-18",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "246690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "J400002141",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02948850",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "agandhi25516@direct.rochesterregional.org",
            "affiliation": "N",
            "address_1": "1415Portland Ave",
            "address_2": "Suite 225",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146213001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.