Individual provider Active NPI

Niel K Gandhi, MD

  • Family Medicine Physician
  • Aurora, IL
National Provider Identifier
1619230034
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036163512 Issued in IL
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

Updated by the provider on May 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, IL2 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
I20160812001170 RI Practitioner - Family PracticePractitioner - Hospice/Palliative Care 0446479802 Reassigns benefits to 1 organization
I20230327000275 IL Practitioner - Family Practice 0446479802 Reassigns benefits to 3 organizations

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
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians
Rush-Copley Medical Group NFPGroup PAC ID 7618864877, 101 clinicians

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

OrganizationSpecialtyStatusNew patients
Rush-Copley Medical Group, NFP Family Medicine CurrentSince May 1, 2023 Accepting new patients
Thundermist Health Center CurrentSince Aug 1, 2016 Accepting new patients
Thundermist Health Center Current Accepting new patients
Thundermist Health Center CurrentSince Aug 1, 2016 Accepting new patients
Rush University Medical Group Family Medicine CurrentSince Aug 1, 2025 Accepting new patients
Rush University Medical Center CurrentSince Aug 1, 2025 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.