NPIMap

Individual provider Active NPI

Sushmitha Gandra, MD

  • Nephrology Physician
  • Langhorne, PA
National Provider Identifier
1265643563
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD433932 Issued in PA
Practice address
240 Middletown Blvd
Suite 200
Langhorne, PA 19047-1832
Phone
(215) 757-5772
Fax
(215) 757-5494
NPI assigned
May 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD433932 PA Primary

Addresses

Primary practice location

240 Middletown Blvd
Suite 200
Langhorne, PA 19047-1832

Mailing address

240 Middletown Blvd
Suite 200
Langhorne, PA 19047-1832
Phone (215) 757-5772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20170320002252 TX Practitioner - NephrologyPractitioner - Internal Medicine 9234218512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healing Kidneys Institute of Houston PLLCGroup PAC ID 1254643232, 4 clinicians

Practice addresses (Care Compare)

150 Pine Forest Dr
Suite 101
Shenandoah, TX 77384-5302
Phone (832) 610-2822

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Kidneys Institute of Houston PLLC Nephrology CurrentSince Feb 15, 2017 Accepting new patients
Northampton Neurology, P.C. Past Accepting new patients
Nephrology & Hypertension Associates PC PastSince Jun 15, 1993 Accepting new patients

Locations

200 S Rivershire Dr
Ste 300
Conroe, TX 77304
Phone (832) 610-2822

17320 Red Oak Dr
Houston, TX 77090
Phone (832) 610-2822

724 Cypress Creek Pkwy
Ste 100
Houston, TX 77090

150 Pine Forest Dr
Ste 101
Shenandoah, TX 77384
Phone (832) 610-2822

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13165/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sushmitha.gandra@direct.davitaphysiciansolutions.com

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": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1265643563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 MIDDLETOWN BLVD",
            "address_2": "SUITE 200",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471832",
            "telephone_number": "215-757-5772",
            "fax_number": "215-757-5494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 MIDDLETOWN BLVD",
            "address_2": "SUITE 200",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471832",
            "telephone_number": "215-757-5772",
            "fax_number": "215-757-5494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDRA",
        "first_name": "SUSHMITHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD433932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

Verify at the official NPI Registry.