Individual provider Active NPI

Gandhi Lanke, MD

  • Internal Medicine Physician
  • Flint, MI
National Provider Identifier
1487900759
Registry record updated Jul 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301100227 Issued in MI
Practice address
G3200 Beecher Rd
Suite 2
Flint, MI 48532-3651
Phone
(810) 342-5800
Fax
(810) 342-5810
NPI assigned
Jul 24, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301100227 MI Primary

Addresses

Primary practice location

G3200 Beecher Rd
Suite 2
Flint, MI 48532-3651

Mailing address

401 S Ballenger Hwy
Flint, MI 48532-3638
Phone (810) 342-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181221001830 TX Practitioner - Internal Medicine 1355632860 Reassigns benefits to 3 organizations
I20210420000833 MD Practitioner - Internal Medicine 1355632860 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301100227MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Inpatient Physicians of Texas I, Inc Internal Medicine CurrentSince Dec 1, 2019 Accepting new patients
St Paul Place Specialists, Inc. CurrentSince Apr 15, 2021 Accepting new patients
Sound Inpatient Physicians of Texas I, Inc Internal Medicine CurrentSince Dec 1, 2019 Accepting new patients
St. Paul Place Specialists, Inc. Current Accepting new patients
St Paul Place Specialists Inc CurrentSince Apr 15, 2021 Accepting new patients

Locations

301 Saint Paul St
Baltimore, MD 21202
Phone (410) 385-4930

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

3615 19th St
Lubbock, TX 79410
Phone (806) 725-0000

17500 W Grand Pkwy S
Sugar Land, TX 77479
Phone (281) 725-5000

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343088000000",
    "number": "1487900759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S BALLENGER HWY",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323638",
            "telephone_number": "810-342-1000",
            "fax_number": "810-342-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G3200 BEECHER RD",
            "address_2": "SUITE 2",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323651",
            "telephone_number": "810-342-5800",
            "fax_number": "810-342-5810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANKE",
        "first_name": "GANDHI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-24",
        "last_updated": "2012-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301100227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.