Shaylin S Gandhi, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA.0004048 Issued in CO

Practice address

1335 E South Boulder Rd Ste C
Louisville, CO 80027-2304

Phone

(720) 961-9700

NPI assigned

Apr 30, 2012

Last updated

Aug 12, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM, CO2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Quality Urgent Care Professional Corporation

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Louisville, CO
  • NPI 1497227060
  Medicare reassignment NPD (past)
• Urgent Care Solutions Glendale, P.C.

  dba Doctors Express Cherrycreek

  • Urgent Care Clinic/Center
  • Denver, CO
  • NPI 1336491075
  Medicare reassignment
• Duke City Urgent Care

  • Urgent Care Clinic/Center
  • Albuquerque, NM
  • NPI 1790185577
  Medicare reassignment
• Quality Urgent Care Professional Corporation

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Longmont, CO
  • NPI 1891483442
  NPD
• Urgent Care Solutions Glendale, PC

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Denver, CO
  • NPI 1780190801
  NPD
• Quality Urgent Care Professional Corporation

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Boulder, CO
  • NPI 1417550591
  NPD (past)
• McLeod Medical Centers of NM, Inc.

  dba Duke City Primary Care

  • Family Medicine Physician
  • Cedar Crest, NM
  • NPI 1215580832
  NPD (past)
• Medic Buddy, LLC

  dba Medic Buddy

  • Internal Medicine Physician
  • Albuquerque, NM
  • NPI 1851862882
  NPD (past)
• New Mexico Em-1 Medical Services, P.C.

  • Emergency Medicine Physician
  • Lovington, NM
  • NPI 1265878359
  NPD (past)
• Southeastern Plains Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Lovington, NM
  • NPI 1750621272
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1326306127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 E SOUTH BOULDER RD STE C",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800272304",
            "telephone_number": "720-961-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 E SOUTH BOULDER RD STE C",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800272304",
            "telephone_number": "720-961-9700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3420 Constitution Ave NE Ste A",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871061238",
            "country_code": "US",
            "telephone_number": "505-738-4100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11601 Montgomery Blvd NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871112660",
            "country_code": "US",
            "telephone_number": "505-814-1995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANDHI",
        "first_name": "SHAYLIN",
        "middle_name": "S",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-30",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2012-0014",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA.0004048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "61358347",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fullswift Physiotherapy , PLLC
• FX Electronics
• Andy Scott Gage, PT
• Anthony V Gagnor, PT, DPT
• Christina S Gamba, MD
• Jamie Gandolph, MA
• Marilyn Ann Gandolph, PHYSICIAN ASSISTANT
• Tracy Gano, LCSW
• Victor Noe Garcia
• Allison Garvin, RN

• Medical Physician Assistant in Louisville, CO
• Providers in Louisville, CO by specialty
• Medical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.