Individual provider Active NPI

Ujjawal H Gandhi, MBBS, PHD

  • Hematology & Oncology Physician
  • Cary, NC
National Provider Identifier
1396002325
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
2019-00566 Issued in NC
Practice address
150 Parkway Office CT Ste 200
Cary, NC 27518-0002
Phone
(984) 974-2150
NPI assigned
Apr 16, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2019-00566 NC
Internal Medicine Physician 207R00000X 56733 TN
Student in an Organized Health Care Education/Training Program 390200000X
Hematology & Oncology Physician 207RH0003X 2019-00566 NC Primary

Addresses

Primary practice location

150 Parkway Office CT Ste 200
Cary, NC 27518-0002

Mailing address

150 Parkway Office Court
Parkway Professional Park, Suite 200
Cary, NC 27518
Phone (984) 974-2150

Other practice location 1

1000 10th Ave
New York, NY 10019-1147
Phone (212) 523-4000

Other practice location 2

2220 Pierce Ave
Nashville, TN 37232-0021
Phone (615) 936-8422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20190729003565 NC Practitioner - Hematology/OncologyPractitioner - Internal Medicine 9032464490 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Carolina MG LLCGroup PAC ID 1951828847, 723 clinicians

Practice addresses (Care Compare)

2901 Blue Ridge Rd
Raleigh, NC 27607-6423
Phone (919) 784-3105

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2019-00566NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rex Hospital Inc CurrentSince Aug 1, 2019 Accepting new patients
Rex Hospital, Inc CurrentSince Aug 1, 2019 Accepting new patients
Rex Hospital Inc Internal Medicine Current Accepting new patients
North Carolina MG, LLC Hematology & Oncology CurrentSince Nov 1, 2025 Accepting new patients
Vanderbilt University Internal Medicine PastSince Apr 1, 2018 Accepting new patients

Locations

150 Parkway Office Ct
Ste 200
Cary, NC 27518
Phone (984) 974-1483

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

2901 Blue Ridge Rd
Raleigh, NC 27607
Phone (919) 784-3105

Interoperability endpoints

  • Direct secure messaging: ugandhi529601@direct.unc.nchie.net

Organizations & group practices 5

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 2

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": "1334534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1396002325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 PARKWAY OFFICE COURT",
            "address_2": "PARKWAY PROFESSIONAL PARK, SUITE 200",
            "city": "CARY",
            "state": "NC",
            "postal_code": "27518",
            "telephone_number": "984-974-2150",
            "fax_number": "984-974-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PARKWAY OFFICE CT STE 200",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275180002",
            "telephone_number": "984-974-2150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 10th Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100191147",
            "country_code": "US",
            "telephone_number": "212-523-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2220 Pierce Ave",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372320021",
            "country_code": "US",
            "telephone_number": "615-936-8422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANDHI",
        "first_name": "UJJAWAL",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MBBS, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-16",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2019-00566",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "56733",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NC",
            "license": "2019-00566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.