NPIMap

Individual provider Active NPI

Jeet K. Gandhi, MD

  • Nephrology Physician
  • San Antonio, TX
National Provider Identifier
1649433780
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
R3675 Issued in TX
Practice address
2391 NE Loop 410 Ste 405
San Antonio, TX 78217-5675
Phone
(210) 654-7326
Fax
(210) 590-8232
NPI assigned
Jul 9, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA09497000 NJ
Nephrology Physician 207RN0300X R3675 TX Primary

Addresses

Primary practice location

2391 NE Loop 410 Ste 405
San Antonio, TX 78217-5675

Mailing address

7142 San Pedro Ave Ste 120
San Antonio, TX 78216-6256
Phone (210) 661-5622

Other identifiers 1

IdentifierTypeStateIssuer
384651101MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20180604002561 TX Practitioner - NephrologyPractitioner - Internal Medicine 1456538859 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

17331 Ih 35
Suite 107
Schertz, TX 78154-1273
Phone (210) 654-7326

Hospital & facility affiliations

  • DaVita Live Oak Dialysis Dialysis facility, Live Oak, TX, CCN 452570
  • Heart to Heart Hospice of San Antonio, LLC Hospice, San Antonio, TX, CCN 671533
  • Gentiva Hospice, San Antonio, TX, CCN 451682
  • Hope Hospice Hospice, New Braunfels, TX, CCN 451522
  • Methodist Hospital Hospital, San Antonio, TX, CCN 450388
  • Methodist Hospital Stone Oak Hospital, San Antonio, TX, CCN 670055
  • Baptist Medical Center Hospital, San Antonio, TX, CCN 450058

Merit-based Incentive Payment System (MIPS)

Final score
85.76 of 100Reported as group
Quality
67.88
Promoting interoperability
87
Improvement activities
40
Cost
78.84

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09497000NJMDInternal Medicine Physician
R3675TXMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas Health Science Center at San Antonio CurrentSince Jul 1, 2018 Accepting new patients
Vicente Quintero, M.D. P.a. Internal Medicine CurrentSince Nov 13, 2025 Accepting new patients
University of Texas Health Science Center at San Antonio Internal Medicine CurrentSince Jul 1, 2018 Accepting new patients
San Antonio Kidney Disease Center Physicians Group, P.L.L.C. Nephrology CurrentSince Jul 1, 2018 Accepting new patients
San Antonio Kidney Disease Center Physicians Group, P.L.L.C. Nephrology PastSince Aug 28, 2021 Accepting new patients

Locations

12602 Toepperwein Rd
Ste 208
Live Oak, TX 78233
Phone (210) 650-9119

7142 San Pedro Ave
Ste 120
San Antonio, TX 78216
Phone (210) 481-7453

701 S Zarzamora St
San Antonio, TX 78207
Phone (210) 358-7000

2391 NE Loop 410
Ste 405
San Antonio, TX 78217
Phone (210) 654-7326

8601 Village Dr
Ste 226
San Antonio, TX 78217
Phone (210) 224-1771

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

Interoperability endpoints

  • Direct secure messaging: jeetgandhi@sakdc.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
New Century Hospice of San AntonioPleasanton, TX, CCN 671612 Hospice Contracted Managing Employee Jul 1, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

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": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1649433780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7142 SAN PEDRO AVE STE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166256",
            "telephone_number": "210-661-5622",
            "fax_number": "210-395-4012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2391 NE LOOP 410 STE 405",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175675",
            "telephone_number": "210-654-7326",
            "fax_number": "210-590-8232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDHI",
        "first_name": "JEET",
        "middle_name": "K.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-09",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA09497000",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "R3675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "384651101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.