Individual provider Active NPI

Radhakrishan S Gandhi, M.D.

  • Cardiovascular Disease Physician
  • Newport Beach, CA
National Provider Identifier
1417026493
Registry record updated Jan 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A053184 Issued in CA
Practice address
520 Superior Ave Ste 220
Newport Beach, CA 92663-3671
Phone
(949) 515-4515
Fax
(949) 515-4508
NPI assigned
Nov 6, 2006
Last updated
Jan 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A053184 CA Primary
Interventional Cardiology Physician 207RI0011X A053184 CA
Nuclear Cardiology Physician 207UN0901X A053184 CA

Addresses

Primary practice location

520 Superior Ave Ste 220
Newport Beach, CA 92663-3671

Mailing address

28241 Crown Valley Pkwy # F337
Laguna Niguel, CA 92677-4441
Phone (949) 305-9053

Other practice location 1

19582 Beach Blvd Ste 270
Huntington Beach, CA 92648-5924
Phone (949) 515-4515

Other identifiers 1

IdentifierTypeStateIssuer
00A531840MedicaidCA

Other names 1

  • Dr. Ray S Gandhi Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20051123000699 CA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4688694391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orange Coast Cardiology Medical CorporationGroup PAC ID 0547664856, 2 clinicians

Practice addresses (Care Compare)

520 Superior Ave
Suite 220
Newport Beach, CA 92663-3671
Phone (949) 515-4515

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.88 of 100Reported as individual
Quality
94.07
Promoting interoperability
100
Improvement activities
40
Cost
68.97

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting13
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A053184CAMDNuclear Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orange Coast Cardiology Medical Corporation Multi-Specialty CurrentSince Jul 24, 2021 Accepting new patients
Newport Medicine Group, Inc. Multi-Specialty CurrentSince Sep 1, 2021 Accepting new patients
Modern Nuclear, Inc. Past Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Hoag Memorial Hospital Presbyterian Multi-Specialty Past Accepting new patients
South Coast Global Medical Center, Inc Past Accepting new patients

Locations

19582 Beach Blvd
Ste 270
Huntington Beach, CA 92648
Phone (714) 378-4920

28241 Crown Valley Pkwy
#F337
Laguna Niguel, CA 92677

520 Superior Ave
Ste 220
Newport Beach, CA 92663
Phone (949) 515-4515

520 Superior Ave
Ste 330
Newport Beach, CA 92663
Phone (949) 478-7373

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24137/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: radhakrishan.gandhi.1@24137.direct.athenahealth.com

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.

Hospital & facility affiliations 4

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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737244800000",
    "number": "1417026493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28241 CROWN VALLEY PKWY # F337",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926774441",
            "telephone_number": "949-305-9053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 SUPERIOR AVE STE 220",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633671",
            "telephone_number": "949-515-4515",
            "fax_number": "949-515-4508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19582 Beach Blvd Ste 270",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926485924",
            "country_code": "US",
            "telephone_number": "949-515-4515",
            "fax_number": "949-515-4508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANDHI",
        "first_name": "RADHAKRISHAN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2025-01-19",
        "certification_date": "2025-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A053184",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A053184",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "CA",
            "license": "A053184",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A531840",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAY",
            "last_name": "GANDHI",
            "middle_name": "S",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.