Individual provider Active NPI

Malay Suresh Gandhi, M.D

  • Clinical Cardiac Electrophysiology Physician
  • St Petersburg, FL
National Provider Identifier
1487877346
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
ME116350 Issued in FL
Practice address
5398 Park St N
St Petersburg, FL 33709-1041
Phone
(727) 544-1441
Fax
(727) 545-8263
NPI assigned
Apr 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X ME116350 FL Primary
Cardiovascular Disease Physician 207RC0000X ME116350 FL

Addresses

Primary practice location

5398 Park St N
St Petersburg, FL 33709-1041

Mailing address

5398 Park St N
St Petersburg, FL 33709-1041
Phone (727) 544-1441

Other identifiers 2

IdentifierTypeStateIssuer
009123400MedicaidFL
14R1LOtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20130626000526 FL Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 9133207871 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinellas Ekg Interpreters IncGroup PAC ID 4385608066, 37 clinicians
Bay Area Heart Center PAGroup PAC ID 7416857180, 16 clinicians
Morton Plant Health Services IncGroup PAC ID 2163336777, 88 clinicians

Practice addresses (Care Compare)

300 Pinellas St
Clearwater, FL 33756-3804
Phone (727) 462-7000

5398 Park St N
St Petersburg, FL 33709-1041
Phone 7275441441150

8787 Bryan Dairy Rd
Largo, FL 33777-1251
Phone (727) 391-4758

Hospital & facility affiliations

  • St Anthonys Hospital Hospital, Saint Petersburg, FL, CCN 100067
  • HCA Florida Largo Hospital Hospital, Largo, FL, CCN 100248
  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127
  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075
  • HCA Florida Northside Hospital Hospital, Saint Petersburg, FL, CCN 100238

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair31

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Morton Plant Mease Health Services Inc CurrentSince Mar 9, 2015 Accepting new patients
Morton Plant Mease Health Services, Inc CurrentSince Mar 9, 2015 Accepting new patients
Cardiology Interpreters Inc CurrentSince Jun 1, 2015 Accepting new patients
Pinellas Ekg Interpreters Inc Cardiovascular Disease CurrentSince Jan 1, 2016 Accepting new patients
Bay Area Heart Center PA Cardiovascular Disease CurrentSince Jul 1, 2013 Accepting new patients
Morton Plant Mease Health Services Inc Current Accepting new patients

Locations

300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552

601 Main St
Dunedin, FL 34698
Phone (727) 461-1133

200 Clearwater Largo Rd N
Largo, FL 33770
Phone (727) 544-1441

2025 Indian Rocks Rd S
Largo, FL 33774
Phone (727) 581-9474

3890 Tampa Rd
#H
Palm Harbor, FL 34684
Phone (813) 781-3164

8787 Bryan Dairy Rd
Seminole, FL 33777
Phone (727) 391-4758

1201 7th Ave N
St Petersburg, FL 33705
Phone (727) 544-1441

3600 66th St N
St Petersburg, FL 33710
Phone (727) 504-5183

4805 49th St N
St Petersburg, FL 33709
Phone (727) 526-6624

5398 Park St N
St Petersburg, FL 33709
Phone (727) 544-1441

2102 Trinity Oaks Blvd
Trinity, FL 34655
Phone (727) 372-4000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: malay.gandhi.1@15915.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/15915/brand/3/csg/1/fhir/r4

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491955200000",
    "number": "1487877346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5398 PARK ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337091041",
            "telephone_number": "727-544-1441",
            "fax_number": "727-545-8263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5398 PARK ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337091041",
            "telephone_number": "727-544-1441",
            "fax_number": "727-545-8263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDHI",
        "first_name": "MALAY",
        "middle_name": "SURESH",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2017-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "FL",
            "license": "ME116350",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME116350",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009123400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "14R1L",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.