Active NPI
Niel K Gandhi, MD
- Family Medicine Physician
- Aurora, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036163512
- Practice address
- 1901 W Galena Blvd
Aurora, IL 60506-4305 - Phone
- (630) 692-5960
- Fax
- (630) 692-5961
- NPI assigned
- Jun 20, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036163512 | IL | Primary |
Addresses
Primary practice location
1901 W Galena Blvd
Aurora, IL 60506-4305
Mailing address
1901 W Galena Blvd
Aurora, IL 60506-4305
Phone (630) 692-5960
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1700 W Van Buren St
Chicago, IL 60612-5500
Phone (312) 563-2875
1901 W Galena Blvd
Rush Copley Medical Group
Aurora, IL 60506-4305
Phone (630) 692-5960
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rush-Copley Medical Group, NFP | Family Medicine | Current | Accepting new patients |
| Thundermist Health Center | Current | Accepting new patients | |
| Thundermist Health Center | Current | Accepting new patients | |
| Thundermist Health Center | Current | Accepting new patients | |
| Rush University Medical Group | Family Medicine | Current | Accepting new patients |
| Rush University Medical Center | Current | Accepting new patients | |
| Rush Copley Medical Group | Family Medicine | Past | Accepting new patients |
| Copley Memorial Hospital Inc. | Family Medicine | Past | Accepting new patients |
Locations
2000 Ogden Ave
Aurora, IL 60504
Phone (630) 466-8200
2000 Ogden Ave
Ste P50
Aurora, IL 60504
444 N Eola Rd
Ste 110
Aurora, IL 60502
Phone (630) 499-8758
1901 W Galena Blvd
Aurora, IL 60506
Phone (630) 692-5960
1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875
75 Remittance Dr
Dept 1611
Chicago, IL 60675
4789 State Route 71
Oswego, IL 60543
Phone (630) 692-5730
450 Clinton St
Woonsocket, RI 02895
25 John a Cummings Way
Ste 302
Woonsocket, RI 02895
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DCBEAA
Organizations & group practices 9
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.
-
dba Rush University Internists
- Internal Medicine Physician
- Chicago, IL
- NPI 1093819542
Family Medicine
-
- Family Medicine Physician
- Aurora, IL
- NPI 1093075848
-
- Federally Qualified Health Center (FQHC)
- Wakefield, RI
- NPI 1700041001
-
dba Radiology Services
- Diagnostic Radiology Physician
- Chicago, IL
- NPI 1184269425
-
- Federally Qualified Health Center (FQHC)
- Narragansett, RI
- NPI 1265190292
-
- Federally Qualified Health Center (FQHC)
- Woonsocket, RI
- NPI 1588691620
-
dba Rush-Copley Family Medicine Center
- Family Medicine Physician
- Aurora, IL
- NPI 1629003165
-
- Family Medicine Physician
- Aurora, IL
- NPI 1194836247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685404800000",
"number": "1619230034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 W GALENA BLVD",
"city": "AURORA",
"state": "IL",
"postal_code": "605064305",
"telephone_number": "630-692-5960",
"fax_number": "630-692-5961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 W GALENA BLVD",
"city": "AURORA",
"state": "IL",
"postal_code": "605064305",
"telephone_number": "630-692-5960",
"fax_number": "630-692-5961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANDHI",
"first_name": "NIEL",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-20",
"last_updated": "2023-05-30",
"certification_date": "2023-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036163512",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.