Active NPI
Gaurav Tandon, MD
- Nephrology Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- ME121997
- 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
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35919301 | Medicaid | AZ | |
| 000000622778 | Other | IN | ANTHEM |
| 200943860 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- First Coast Dialysis
- Bma - Saint Johns
- DaVita Dunn Avenue Dialysis
- DaVita Jacksonville Arlington Dialysis
- DaVita Regency Dialysis Center
- Ascension St Vincent'S Southside
- HCA Florida Memorial Hospital
- Baptist Health Medical Center - Jacksonville
- HCA Florida Orange Park Hospital
- Baptist Medical Center Beaches
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.3 of 100
- Quality
- 77.72
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidney Clinic of North Florida PLLC | Nephrology | Current | Accepting new patients |
| Florida Kidney Physicians, LLC | Nephrology | Past | Accepting new patients |
| Mercy Health Physicians Lima, LLC | Internal Medicine | Past | Accepting new patients |
| Lima Memorial Joint Operating Company | 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
- gaurav.tandon.1@24130.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Nephrology Physician
- Jacksonville, FL
- NPI 1467036590
-
- Nephrology Physician
- Temple Terrace, FL
- NPI 1760831564
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Family Medicine Physician
- Lima, OH
- NPI 1225292865
Internal Medicine
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Jacksonville, FL
- NPI 1699887430
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Jacksonville, FL
- NPI 1639448467
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Jacksonville, FL
- NPI 1821291147
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Jacksonville, FL
- NPI 1023424694
Dialysis facility
-
- General Acute Care Hospital
- Jacksonville Beach, FL
- NPI 1821155912
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1447206438
-
- General Acute Care Hospital
- Orange Park, FL
- NPI 1689611501
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1396926747
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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "35919301",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000622778",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200943860",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.