Active NPI
Nikhil Gandhi, D.O.
- Interventional Cardiology Physician
- Southfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 5101026005
- Practice address
- 22250 Providence Dr Ste 705
Southfield, MI 48075-6215 - Phone
- (248) 552-9858
- NPI assigned
- May 17, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 5101026005 | MI | |
| Internal Medicine Physician | 207R00000X | 5101026005 | MI | |
| Interventional Cardiology Physician | 207RI0011X | 5101026005 | MI | Primary |
Addresses
Primary practice location
22250 Providence Dr Ste 705
Southfield, MI 48075-6215
Mailing address
22250 Providence Dr Ste 705
Southfield, MI 48075-6215
Phone (485) 552-9858
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Michigan State University College of Osteopathic Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22250 Providence Dr
Suite 705
Southfield, MI 48075-6215
Phone (248) 552-9858
Hospital & facility affiliations
- Ascension Providence Hospital, Southfield and Novi
- Henry Ford Health St John Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101026005 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health Providence Hospital | Current | Accepting new patients | |
| Henry Ford Health Providence Hospital | Current | Accepting new patients | |
| Henry Ford Health Providence Hospital | Cardiovascular Disease | Current | Accepting new patients |
Locations
22201 Moross Rd
Grosse Pointe Woods, MI 48236
Phone (313) 343-3481
22201 Moross Rd
Ste 50
Grosse Pointe Woods, MI 48236
Phone (313) 343-7774
1225 S Latson Rd
Ste 230
Howell, MI 48843
Phone (517) 548-7777
47601 Grand River Ave
Ste C202
Novi, MI 48374
Phone (248) 465-4163
22250 Providence Dr
Ste 705
Southfield, MI 48075
Phone (248) 465-5955
Interoperability endpoints
- ngandhi841965@direct.hfhs.org
Organizations & group practices 3
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.
-
- Surgery Physician
- Southfield, MI
- NPI 1942265236
-
- Pediatrics Physician
- Southfield, MI
- NPI 1265497226
-
- Cardiovascular Disease Physician
- Southfield, MI
- NPI 1871554626
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Novi, MI
- NPI 1144210253
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1023088168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762992000000",
"number": "1437649159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22250 PROVIDENCE DR STE 705",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480756215",
"telephone_number": "485-552-9858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22250 PROVIDENCE DR STE 705",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480756215",
"telephone_number": "248-552-9858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANDHI",
"first_name": "NIKHIL",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-17",
"last_updated": "2025-11-13",
"certification_date": "2025-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MI",
"license": "5101026005",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "5101026005",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "MI",
"license": "5101026005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.