Active NPI
Niyomi Gandhi Patel, M.D.
- Pediatrics Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2021-03281
- Practice address
- 8401 Medical Plaza Dr Ste 220
Charlotte, NC 28262-8700 - Phone
- (704) 384-1570
- Fax
- (704) 384-1534
- NPI assigned
- May 13, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4301107395 | MI | |
| Pediatrics Physician | 208000000X | 275549 | MA | |
| Pediatrics Physician | 208000000X | 2021-03281 | NC | Primary |
Addresses
Primary practice location
8401 Medical Plaza Dr Ste 220
Charlotte, NC 28262-8700
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Other practice location 1
2845 Mullholland Dr Apt 1612
Charlotte, NC 28262-6917
Phone (615) 419-4129
Other names 1
- Niyomi Gandhi
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Pediatrics | Current | Accepting new patients |
| Novant Medical Group, Inc. | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Pediatrics | Current | Accepting new patients |
| Novant Health Medical Group, LLC | Past | Accepting new patients |
Locations
2630 E 7th St
Ste 101
Charlotte, NC 28204
Phone (704) 344-1000
8820 Rachel Freeman Way
Charlotte, NC 28278
Phone (704) 316-3608
8401 Medical Plaza Dr
Ste 220
Charlotte, NC 28262
Phone (704) 384-1390
5325 Vinning St NW
Ste 101
Concord, NC 28027
Phone (704) 316-1040
7752 Gateway Ln NW
Ste 100
Concord, NC 28027
Phone (704) 316-4950
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
Interoperability endpoints
- npatel1017397@direct.novanthealth.org
Organizations & group practices 7
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.
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- Pediatrics Physician
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- NPI 1326094350
-
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
- Cardiovascular Disease Physician
- Southport, NC
- NPI 1679528384
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1134841802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653955200000",
"number": "1639557481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8401 MEDICAL PLAZA DR STE 220",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282628700",
"telephone_number": "704-384-1570",
"fax_number": "704-384-1534"
}
],
"practiceLocations": [
{
"address_1": "2845 Mullholland Dr Apt 1612",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282626917",
"country_code": "US",
"telephone_number": "615-419-4129",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "NIYOMI",
"middle_name": "GANDHI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-13",
"last_updated": "2022-05-31",
"certification_date": "2022-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301107395",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "275549",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "2021-03281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NIYOMI",
"last_name": "GANDHI",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.