NPIMap

Individual provider Active NPI

Gaurav Tandon, MD

  • Nephrology Physician
  • Jacksonville, FL
National Provider Identifier
1306069562
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME121997 Issued in FL
Practice address
6885 Belfort Oaks PL Ste 230
Jacksonville, FL 32216-6283
Phone
(904) 593-5333
Fax
(904) 593-5334
NPI assigned
Apr 10, 2007
Last updated
Feb 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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 ME121997 FL Primary

Addresses

Primary practice location

6885 Belfort Oaks PL Ste 230
Jacksonville, FL 32216-6283

Mailing address

12620 Beach Blvd Ste 3-422
Jacksonville, FL 32246-7131
Phone (623) 734-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20150807015069 FL Practitioner - NephrologyPractitioner - Internal Medicine 7315013794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidney Clinic of North Florida PLLCGroup PAC ID 7618377789, 2 clinicians

Practice addresses (Care Compare)

161 Hampton Point Dr
Suite 4
Saint Augustine, FL 32092-3058
Phone (904) 593-5333

1825 Kingsley Ave
Suite 260
Orange Park, FL 32073-4477
Phone (904) 593-5333

6885 Belfort Oaks PL
Suite 230
Jacksonville, FL 32216-6283
Phone (904) 593-5333

800 Zeagler Dr
Suite 400
Palatka, FL 32177-3827
Phone (386) 328-6746

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as individual
Quality
77.72
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME121997FLMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Clinic of North Florida PLLC Nephrology CurrentSince May 1, 2021 Accepting new patients
Mercy Health Physicians Lima, LLC Internal Medicine Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Florida Kidney Physicians, LLC Nephrology Past Accepting new patients

Locations

12620 Beach Blvd
Ste 3-422
Jacksonville, FL 32246

4123 University Blvd S
Ste E
Jacksonville, FL 32216
Phone (904) 737-2722

6885 Belfort Oaks Pl
Ste 230
Jacksonville, FL 32216
Phone (904) 222-6176

800 Zeagler Dr
Ste 400
Palatka, FL 32177
Phone (386) 328-6746

Interoperability endpoints

  • Direct secure messaging: gaurav.tandon.1@24130.direct.athenahealth.com

Organizations & group practices 5

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 9

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": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1306069562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12620 BEACH BLVD STE 3-422",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322467131",
            "telephone_number": "623-734-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6885 BELFORT OAKS PL STE 230",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166283",
            "telephone_number": "904-593-5333",
            "fax_number": "904-593-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANDON",
        "first_name": "GAURAV",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME121997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.