Individual provider Active NPI

Aashish V. Gandhi, MD

  • Ophthalmology Physician
  • Urbana, IL
National Provider Identifier
1518989847
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036097961 Issued in IL
Practice address
602 W University Ave
Urbana, IL 61801-2530
Phone
(217) 383-3311
Fax
(217) 326-1628
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036097961 IL Primary

Addresses

Primary practice location

602 W University Ave
Urbana, IL 61801-2530

Mailing address

2902 Crossing CT
Ste E
Champaign, IL 61822-6176
Phone (217) 355-7494

Other names 1

  • Dr. Aashish V. Gandhi Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20070314000227 IL Practitioner - Ophthalmology 7517060403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2902 Crossing CT
Suite E
Champaign, IL 61822-6176
Phone (217) 355-7494

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036097961ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina of Illinois, S.C. Ophthalmology CurrentSince Mar 14, 2007 Accepting new patients
Gibson Community Hospital Association Ophthalmology Past Accepting new patients
Anderson Eye Associates, LTD PastSince Apr 1, 2007 Accepting new patients

Locations

475 Brown Blvd
Ste 109
Bourbonnais, IL 60914
Phone (815) 802-2090

2902 Crossing Ct
Ste E
Champaign, IL 61822
Phone (217) 355-7494

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.

Hospital & facility affiliations 2

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1518989847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2902 CROSSING CT",
            "address_2": "STE E",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618226176",
            "telephone_number": "217-355-7494",
            "fax_number": "217-355-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 W UNIVERSITY AVE",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618012530",
            "telephone_number": "217-383-3311",
            "fax_number": "217-326-1628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDHI",
        "first_name": "AASHISH",
        "middle_name": "V.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036097961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AASHISH",
            "last_name": "GANDHI",
            "middle_name": "V.",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Urbana, IL

Sources for this page

Verify at the official NPI Registry.