NPIMap

Individual provider Active NPI

Jaipal Singh Gandhi, MD

  • Orthopaedic Surgery Physician
  • Beverly, MA
National Provider Identifier
1629219639
Registry record updated Jun 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
243400 Issued in MA
Practice address
77 Herrick St, Suite 201
The Medical BLDG
Beverly, MA 01915
Phone
(978) 927-3040
Fax
(978) 927-0443
NPI assigned
Mar 20, 2009
Last updated
Jun 3, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 243400 MA Primary

Addresses

Primary practice location

77 Herrick St, Suite 201
The Medical BLDG
Beverly, MA 01915

Mailing address

77 Herrick St, Suite 201
The Medical BLDG
Beverly, MA 01915
Phone (978) 927-3040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101027000034 MA Practitioner - Orthopedic Surgery 3173717881 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

152 Conant St
Suite 301
Beverly, MA 01915-1659
Phone (978) 927-3040

99 Conifer Hill Dr
Suite 204
Danvers, MA 01923-1194
Phone (978) 927-3040

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.98 of 100Reported as apm
Quality
76.59
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)59

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Orthopedic Associates Inc Orthopaedic Surgery CurrentSince Sep 1, 2010 Accepting new patients
Beth Israel Lahey Health Primary Care, Inc. CurrentSince Nov 12, 2018 Accepting new patients
Coastal Orthopedic Associates Inc Orthopaedic Surgery CurrentSince Sep 1, 2010 Accepting new patients
Beth Israel Lahey Health Primary Care Inc CurrentSince Nov 12, 2018 Accepting new patients

Locations

152 Conant St
Ste 301
Beverly, MA 01915
Phone (978) 927-3040

77 Herrick St
Ste 201
Beverly, MA 01915
Phone (978) 927-3040

480 Maple St
Danvers, MA 01923
Phone (978) 304-8380

99 Conifer Hill Dr
Ste 204
Danvers, MA 01923
Phone (978) 927-3040

1 Blackburn Dr
Gloucester, MA 01930
Phone (978) 282-3698

15 Railroad Ave
South Hamilton, MA 01982
Phone (978) 468-7381

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10729/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jaipal.gandhi.1@30242.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1237507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307059200000",
    "number": "1629219639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 HERRICK ST, SUITE 201",
            "address_2": "THE MEDICAL BLDG",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "01915",
            "telephone_number": "978-927-3040",
            "fax_number": "978-927-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 HERRICK ST, SUITE 201",
            "address_2": "THE MEDICAL BLDG",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "01915",
            "telephone_number": "978-927-3040",
            "fax_number": "978-927-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDHI",
        "first_name": "JAIPAL",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-20",
        "last_updated": "2011-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "243400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

Verify at the official NPI Registry.