Individual provider Active NPI

Roopa Dhawan Gandhi, M.D.

  • Internal Medicine Physician
  • Montgomery, OH
National Provider Identifier
1376706846
Registry record updated Nov 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.097528 Issued in OH
Practice address
11059 Grandstone LN
Montgomery, OH 45249-3418
Phone
(513) 751-6667
Fax
(513) 872-4553
NPI assigned
Jul 5, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X BP10031165 TX
Internal Medicine Physician 207R00000X 35.097528 OH Primary

Addresses

Primary practice location

11059 Grandstone LN
Montgomery, OH 45249-3418

Mailing address

2925 Vernon PL Ste 100
Cincinnati, OH 45219-2425
Phone (513) 751-6667

Other practice location 1

128 E Apple St
Dayton, OH 45409-2902
Phone (937) 208-2866

Other names 1

  • Dr. Roopa Dhawan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20150709002018 OH Practitioner - Gastroenterology 9436387719 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10031165TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gcga Physicians Inc. CurrentSince May 15, 2017 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Gandhi Gi LLC Past Accepting new patients

Locations

2925 Vernon Pl
Ste 100
Cincinnati, OH 45219
Phone (513) 872-4555

Interoperability endpoints

  • Direct secure messaging: roopa.gandhi.1@5513.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/5513/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1215216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511481600000",
    "number": "1376706846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 VERNON PL STE 100",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192425",
            "telephone_number": "513-751-6667",
            "fax_number": "513-872-4553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11059 GRANDSTONE LN",
            "city": "MONTGOMERY",
            "state": "OH",
            "postal_code": "452493418",
            "telephone_number": "513-751-6667",
            "fax_number": "513-872-4553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "128 E Apple St",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454092902",
            "country_code": "US",
            "telephone_number": "937-208-2866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANDHI",
        "first_name": "ROOPA",
        "middle_name": "DHAWAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-05",
        "last_updated": "2017-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10031165",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.097528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROOPA",
            "last_name": "DHAWAN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Montgomery, OH

Sources for this page

Verify at the official NPI Registry.