Individual provider Active NPI

Mai Dang Gandhi, DO

  • Surgery Physician
  • Mechanicsburg, PA
National Provider Identifier
1366898769
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
OS022412 Issued in PA
Practice address
2025 Technology Pkwy Ste 212
Mechanicsburg, PA 17050-9402
Phone
(717) 988-1450
Fax
(717) 221-5544
NPI assigned
May 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X OS022412 PA Primary

Addresses

Primary practice location

2025 Technology Pkwy Ste 212
Mechanicsburg, PA 17050-9402

Mailing address

2025 Technology Pkwy Ste 212
Mechanicsburg, PA 17050-9402
Phone (717) 988-1450

Other practice location 1

1811 Sabal Palm Dr
Apartment 407
Davie, FL 33324-5928
Phone (614) 556-8742

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mgandhi227883@phsdirect.pinnaclehealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221114000426 PA Practitioner - General Surgery 6204171374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Nova Southeastern College of Osteo Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

2025 Technology Pkwy
Mechanicsburg, PA 17050-9400
Phone (717) 988-1450

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy26
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS022412PAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Sep 1, 2022 Accepting new patients
Pinnacle Health Medical Services Surgery Current Accepting new patients
Pinnacle Health Medical Services CurrentSince Sep 1, 2022 Accepting new patients
Pinnacle Health Medical Services Past Accepting new patients

Locations

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

2025 Technology Pkwy
Ste 212
Mechanicsburg, PA 17050
Phone (717) 791-2620

Interoperability endpoints

  • Direct secure messaging: mgandhi19383@upmc.direct-ci.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.

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": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1366898769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 TECHNOLOGY PKWY STE 212",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170509402",
            "telephone_number": "717-988-1450",
            "fax_number": "717-221-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 TECHNOLOGY PKWY STE 212",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170509402",
            "telephone_number": "717-988-1450",
            "fax_number": "717-221-5544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1811 Sabal Palm Dr",
            "address_2": "Apartment 407",
            "address_purpose": "LOCATION",
            "city": "Davie",
            "state": "FL",
            "postal_code": "333245928",
            "country_code": "US",
            "telephone_number": "614-556-8742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANDHI",
        "first_name": "MAI",
        "middle_name": "DANG",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-04",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "OS022412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgandhi227883@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2025 Technology Pkwy Ste 212",
            "city": "Mechanicsburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170509402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

Verify at the official NPI Registry.