Active NPI
Prasanthi Pasala Gandham, M.D.
- Pediatric Endocrinology Physician
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Endocrinology Physician
- License
- 47284
- Practice address
- 411 E Chestnut St
Louisville, KY 40202 - Phone
- (502) 588-3400
- Fax
- (502) 588-3401
- NPI assigned
- Mar 30, 2011
- Last updated
- Aug 13, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Endocrinology Physician | 2080P0205X | 35.134354 | OH | |
| Pediatric Endocrinology Physician | 2080P0205X | 0116028500 | VA | |
| Pediatric Endocrinology Physician | 2080P0205X | 47284 | KY | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | 0116028500 | VA |
Addresses
Primary practice location
411 E Chestnut St
Louisville, KY 40202
Mailing address
PO Box 776879
Chicago, IL 60677-6879
Phone (502) 272-5817
Other practice location 1
1 Perkins Sq Dept
Akron, OH 44308
Phone (330) 543-3276
Other practice location 2
1 Perkins Sq Dept
Akron, OH 44308
Phone (330) 543-3276
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100212920 | Medicaid | KY | |
| 201242010 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- 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
- Pediatric Medicine
- Education
- University of Cincinnati College of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
411 E Chestnut St
ST7
Louisville, KY 40202-1713
Phone (502) 588-3400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0116028500 | VA | MD | Pediatric Endocrinology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Pediatrics | Current | Accepting new patients |
| Norton Children's Medical Group, LLC | Current | Accepting new patients | |
| Norton Children's Medical Group, LLC | Pediatrics | Current | Accepting new patients |
| Norton Children's Medical Group, LLC | Current | Accepting new patients | |
| Norton Childrens Medical Group, LLC | Pediatrics | Past | Accepting new patients |
Locations
231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500
411 E Chestnut St
Louisville, KY 40202
Phone (502) 588-2330
411 E Chestnut St
#4B
Louisville, KY 40202
Phone (502) 588-3600
411 E Chestnut St
#7
Louisville, KY 40202
Phone (502) 588-3400
411 E Chestnut St
Fl 7
Louisville, KY 40202
Phone (502) 588-3400
530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000
571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700
601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670
850 S 28th St
Ste 104
Louisville, KY 40211
Phone (502) 394-5678
9451 Westport Rd
Ste 122E
Louisville, KY 40241
Phone (502) 588-3400
Interoperability endpoints
- pgandham41687@direct.nortonhealthcare.org
Organizations & group practices 6
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.
-
dba Norton Children's Behavioral and Mental Health
- Psychiatry Physician
- Louisville, KY
- NPI 1457999096
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1366722316
Pediatrics
-
dba Norton Children's Endocrinology
- Pediatric Endocrinology Physician
- Louisville, KY
- NPI 1548801186
Pediatrics
-
dba Norton Children's Radiologists
- Pediatric Radiology Physician
- Louisville, KY
- NPI 1659913812
-
dba ULP Pediatric Pulmonology
- Pediatric Pulmonology Physician
- Louisville, KY
- NPI 1184980963
-
dba Norton Children's Medical Group
- Pediatrics Physician
- Louisville, KY
- NPI 1326695255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786579200000",
"number": "1306135389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 776879",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606776879",
"telephone_number": "502-272-5817",
"fax_number": "502-272-5339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 E CHESTNUT ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "40202",
"telephone_number": "502-588-3400",
"fax_number": "502-588-3401"
}
],
"practiceLocations": [
{
"address_1": "1 Perkins Sq Dept",
"address_purpose": "LOCATION",
"city": "Akron",
"state": "OH",
"postal_code": "44308",
"country_code": "US",
"telephone_number": "330-543-3276",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Perkins Sq Dept",
"address_purpose": "LOCATION",
"city": "Akron",
"state": "OH",
"postal_code": "44308",
"country_code": "US",
"telephone_number": "330-543-3276",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GANDHAM",
"first_name": "PRASANTHI",
"middle_name": "PASALA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-30",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0205X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Endocrinology",
"state": "OH",
"license": "35.134354",
"primary": false
},
{
"code": "2080P0205X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Endocrinology",
"state": "VA",
"license": "0116028500",
"primary": false
},
{
"code": "2080P0205X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Endocrinology",
"state": "KY",
"license": "47284",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "VA",
"license": "0116028500",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100212920",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201242010",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.