Individual provider Active NPI

George N Gandev, MD

  • Pulmonary Disease Physician
  • Evansville, IN
National Provider Identifier
1548445927
Registry record updated May 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
01074075A Issued in IN
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

Updated by the provider on May 6, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02646766MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, IN, WI3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20050601000238 NY Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 0143262048 Reassigns benefits to 3 organizations
I20140723001453 IN Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 0143262048 Reassigns benefits to 2 organizations
I20141103001077 WI Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 0143262048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Internal Medicine, Pulmonary Disease
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Affiliate Group of New York PCGroup PAC ID 4688098833, 1,222 clinicians

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

LicenseStateTypeSpecialty
002291NYMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Specialty Hospital - Evansville LLC Current Accepting new patients
Select Specialty Hospital - Evansville, LLC CurrentSince Jul 20, 2014 Accepting new patients
Physician Affiliate Group of New York PC CurrentSince May 1, 2025 Accepting new patients
The Westchester Medical Practice, PC CurrentSince Apr 6, 2016 Accepting new patients
Deaconess Hospital Inc CurrentSince May 27, 2019 Accepting new patients
Deaconess Hospital, Inc Critical Care Medicine CurrentSince May 27, 2019 Accepting new patients
The Westchester Medical Practice, PC CurrentSince Apr 6, 2016 Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Oct 20, 2014 Accepting new patients
Deaconess Hospital, Inc Internal Medicine Current Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Oct 20, 2014 Accepting new patients
Coney Island Medical Practice Plan, P.C. CurrentSince Aug 28, 2012 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.

View all 13

Hospital & facility affiliations 9

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": "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

Verify at the official NPI Registry.