Active NPI
George N Gandev, MD
- Pulmonary Disease Physician
- Evansville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 01074075A
- Practice address
- 519 Harriet St
Evansville, IN 47710-1715 - Phone
- (812) 450-7720
- Fax
- (812) 450-7730
- NPI assigned
- Jan 4, 2008
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 246946 | NY | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 246946 | NY | |
| Pulmonary Disease Physician | 207RP1001X | 246946 | NY | |
| Pulmonary Disease Physician | 207RP1001X | 01074075A | IN | Primary |
Addresses
Primary practice location
519 Harriet St
Evansville, IN 47710-1715
Mailing address
50 Dayton LN
Suite 202
Peekskill, NY 10566-2859
Phone (914) 739-0087
Other practice location 1
1980 Crompond Rd
Cortlandt Manor, NY 10567-4144
Phone (914) 734-3600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02646766 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, IN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2601 Ocean Pkwy
Brooklyn, NY 11235-7745
Phone (718) 616-5356
400 SE 4TH St
Evansville, IN 47713-1206
Phone (812) 421-2500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002291 | NY | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Specialty Hospital - Evansville LLC | Current | Accepting new patients | |
| Select Specialty Hospital - Evansville, LLC | Current | Accepting new patients | |
| Physician Affiliate Group of New York PC | Current | Accepting new patients | |
| The Westchester Medical Practice, PC | Current | Accepting new patients | |
| Deaconess Hospital Inc | Current | Accepting new patients | |
| Deaconess Hospital, Inc | Critical Care Medicine | Current | Accepting new patients |
| The Westchester Medical Practice, PC | Current | Accepting new patients | |
| Ascension Medical Group-Fox Valley Wisconsin, Inc | Current | Accepting new patients | |
| Deaconess Hospital, Inc | Internal Medicine | Current | Accepting new patients |
| Ascension Medical Group-Fox Valley Wisconsin, Inc | Current | Accepting new patients | |
| Coney Island Medical Practice Plan, P.C. | Current | Accepting new patients | |
| University Group Medical Associates, P.C | Internal Medicine | Past | Accepting new patients |
| Becker Medical, PC | Past | Accepting new patients |
Locations
519 Harriet St
Evansville, IN 47710
Phone (812) 423-9699
4600 W Lloyd Expy
Evansville, IN 47712
Phone (812) 450-6311
400 SE 4th St
Evansville, IN 47713
Phone (812) 421-2312
4015 Gateway Blvd
#2121
Newburgh, IN 47630
Phone (812) 450-7720
2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354
1980 Crompond Rd
Cortlandt Mnr, NY 10567
Phone (914) 734-3600
506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000
50 Dayton Ln
Ste 202
Peekskill, NY 10566
4714 Gettysburg Rd
Mechanicsburg, PA 17055
Phone (888) 735-6332
1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950
1501 S Madison St
Appleton, WI 54915
Phone (920) 730-4435
2700 W 9th Ave
Oshkosh, WI 54904
Phone (920) 223-0220
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Organizations & group practices 13
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.
-
- Long Term Care Hospital
- Evansville, IN
- NPI 1750380739
-
- Registered Dietitian
- New York, NY
- NPI 1013375526
-
- Multi-Specialty Clinic/Center
- Neenah, WI
- NPI 1730126392
-
- General Practice Physician
- Brooklyn, NY
- NPI 1386951762
-
- Specialist
- Yorktown Heights, NY
- NPI 1225222953
-
- Mental Health Counselor
- Evansville, IN
- NPI 1508723552
-
- Pulmonary Disease Physician
- Evansville, IN
- NPI 1972798312
Critical Care Medicine
-
- Hospitalist Physician
- Evansville, IN
- NPI 1104194547
-
- Cardiovascular Disease Physician
- Appleton, WI
- NPI 1831890177
-
- Multi-Specialty Clinic/Center
- Cortlandt Manor, NY
- NPI 1982109120
-
- Specialist
- Cortlandt Manor, NY
- NPI 1265478150
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Washington, IN
- NPI 1861465999
-
- General Acute Care Hospital
- Jasper, IN
- NPI 1003895947
-
- Long Term Care Hospital
- Evansville, IN
- NPI 1750380739
Long-term care hospital
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1427082957
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1124032982
-
- General Acute Care Hospital
- Owensboro, KY
- NPI 1285613612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557100800000",
"number": "1548445927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 DAYTON LN",
"address_2": "SUITE 202",
"city": "PEEKSKILL",
"state": "NY",
"postal_code": "105662859",
"telephone_number": "914-739-0087",
"fax_number": "914-737-1714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "519 HARRIET ST",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477101715",
"telephone_number": "812-450-7720",
"fax_number": "812-450-7730"
}
],
"practiceLocations": [
{
"address_1": "1980 Crompond Rd",
"address_purpose": "LOCATION",
"city": "Cortlandt Manor",
"state": "NY",
"postal_code": "105674144",
"country_code": "US",
"telephone_number": "914-734-3600",
"fax_number": "914-734-3601",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GANDEV",
"first_name": "GEORGE",
"middle_name": "N",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-04",
"last_updated": "2019-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "246946",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "NY",
"license": "246946",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NY",
"license": "246946",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IN",
"license": "01074075A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02646766",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; 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.