Individual provider Active NPI

Hemang Mahendra Gandhi, M.D.

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1467560565
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35809 Issued in AZ
Practice address
10835 North 25TH Avenue
Suite 115
Phoenix, AZ 85029-4751
Phone
(602) 789-0344
Fax
(602) 789-8389
NPI assigned
Aug 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 35809 AZ
Internal Medicine Physician 207R00000X 35809 AZ Primary

Addresses

Primary practice location

10835 North 25TH Avenue
Suite 115
Phoenix, AZ 85029-4751

Mailing address

10835 North 25TH Avenue
Suite 115
Phoenix, AZ 85029-4751
Phone (602) 789-0344

Other practice location 1

1325 N Litchfield Rd Ste 110
Goodyear, AZ 85395-1214
Phone (623) 935-9494

Other identifiers 1

IdentifierTypeStateIssuer
147019-01MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20070213000262 AZ Practitioner - Internal MedicinePractitioner - Hospitalist 0345242814 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Med-Cure Internal Medicine PLCGroup PAC ID 2668522665, 29 clinicians
Dvma LLCGroup PAC ID 0941302053, 56 clinicians

Practice addresses (Care Compare)

1325 N Litchfield Rd
Suite 110
Goodyear, AZ 85395-1228
Phone (623) 935-9494

18701 N 67TH Ave
Glendale, AZ 85308-7100
Phone (623) 974-1500

3303 S Lindsay Rd
Suite 123
Gilbert, AZ 85297-2100
Phone (602) 432-0146

Hospital & facility affiliations

  • Abrazo Central Campus Hospital, Phoenix, AZ, CCN 030030
  • Abrazo West Campus Hospital, Goodyear, AZ, CCN 030110
  • Phoenix Indian Medical Center Hospital, Phoenix, AZ, CCN 030078
  • Abrazo Arrowhead Hospital Hospital, Glendale, AZ, CCN 030094
  • Select Specialty Hospital Phoenix Long-term care hospital, Phoenix, AZ, CCN 032001
  • North Mountain Medical and Rehabilitation Center Nursing home, Phoenix, AZ, CCN 035087
  • Haven of Phoenix Nursing home, Phoenix, AZ, CCN 035107

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35809AZMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cave Creek Consultant PLLC Internal Medicine CurrentSince Aug 6, 2021 Accepting new patients
Dvma, LLC Internal Medicine CurrentSince Oct 1, 2020 Accepting new patients
Med-Cure Internal Medicine, PLC Internal Medicine CurrentSince Sep 1, 2023 Accepting new patients
Cogent Healthcare of Arizona PC Internal Medicine CurrentSince Aug 1, 2015 Accepting new patients
Haven of Phoenix, LLC Past Accepting new patients
Signify Health, LLC Past Accepting new patients
Barnet Dulaney Perkins Eye Center, PC PastSince Sep 1, 2023 Accepting new patients
Radiant Hills Health Associates LLC PastSince Dec 1, 2016 Accepting new patients
Hospital Development of West Phoenix Inc Past Accepting new patients
VHS of Phoenix Inc Past Accepting new patients
Select Specialty Hospital - Phoenix Inc Past Accepting new patients

Locations

525 S Watson Rd
Ste 205
Buckeye, AZ 85326
Phone (623) 344-0498

3303 S Lindsay Rd
Ste 123
Gilbert, AZ 85297
Phone (480) 821-9339

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

13657 W McDowell Rd
Ste 11
Goodyear, AZ 85395

1325 N Litchfield Rd
Ste 110
Goodyear, AZ 85395
Phone (623) 932-4060

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

13350 N 94th Dr
Ste A101
Peoria, AZ 85381
Phone (623) 933-1010

16640 N 38th St
Phoenix, AZ 85032
Phone (602) 482-6671

350 W Thomas Rd
Fl 3
Phoenix, AZ 85013
Phone (602) 406-6800

9155 N 3rd St
Phoenix, AZ 85020
Phone (602) 218-9483

2020 N Central Ave
Ste 1010
Phoenix, AZ 85004
Phone (602) 553-8400

4202 N 20th Ave
Phoenix, AZ 85015
Phone (602) 264-3824

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187

2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000

9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBDIAA

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
North Mountain Medical & Rehabilitation CenterPhoenix, AZ, CCN 035087 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF
Dec 1, 2016
Dec 1, 2016
Dec 1, 2016
Health Group ManagementPhoenix, AZ, CCN 035107 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 1, 2023
Jan 1, 2023

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

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 7

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": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1467560565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10835 NORTH 25TH AVENUE",
            "address_2": "SUITE 115",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294751",
            "telephone_number": "602-789-0344",
            "fax_number": "602-789-8389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10835 NORTH 25TH AVENUE",
            "address_2": "SUITE 115",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294751",
            "telephone_number": "602-789-0344",
            "fax_number": "602-789-8389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1325 N Litchfield Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Goodyear",
            "state": "AZ",
            "postal_code": "853951214",
            "country_code": "US",
            "telephone_number": "623-935-9494",
            "fax_number": "623-935-9292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANDHI",
        "first_name": "HEMANG",
        "middle_name": "MAHENDRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2023-10-04",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AZ",
            "license": "35809",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "35809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147019-01",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.