Kavisha D Gandhi, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

8013420 Issued in WI

Practice address

725 American Ave
Waukesha, WI 53188-5099

Phone

(262) 928-1000

NPI assigned

Apr 26, 2019

Last updated

Sep 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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 1

Specialty

Internal Medicine

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oak Medical SCGroup PAC ID 0042595175, 118 clinicians

Maple Medical SCGroup PAC ID 9032471248, 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Shore at Home Hospice, Glendale, WI, CCN 521608
• Williams Bay Health Services Nursing home, Williams Bay, WI, CCN 525346

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Maple Medical SC

  • Physical Medicine & Rehabilitation Physician
  • Waukesha, WI
  • NPI 1487152104

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Oak Medical SC

  • Internal Medicine Physician
  • Waukesha, WI
  • NPI 1669910345
  Medicare reassignment Care Compare group NPD
• Apogee Medical Group Waukesha, SC

  • Hospitalist Physician
  • Waukesha, WI
  • NPI 1528544608
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Great Lakes Hospice LLC

  • Community Based Hospice Care Agency
  • Glendale, WI
  • NPI 1205433778
  Care Compare affiliation
• NSH Williams Bay LLC

  dba Williams Bay Health Services

  • Skilled Nursing Facility
  • Williams Bay, WI
  • NPI 1669015517

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1679137434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 AMERICAN AVE",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531885099",
            "telephone_number": "262-928-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 AMERICAN AVE",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531885099",
            "telephone_number": "262-928-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 E McDowell Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850062612",
            "country_code": "US",
            "telephone_number": "602-839-2266",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "791 Summit Ave",
            "address_purpose": "LOCATION",
            "city": "Oconomowoc",
            "state": "WI",
            "postal_code": "530663896",
            "country_code": "US",
            "telephone_number": "262-569-0259",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "240 Maple Ave",
            "address_purpose": "LOCATION",
            "city": "Mukwonago",
            "state": "WI",
            "postal_code": "531498475",
            "country_code": "US",
            "telephone_number": "262-521-7761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANDHI",
        "first_name": "KAVISHA",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-26",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "8013420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie J. Gajafsky, APNP
• Thomas Gallagher, M.D.
• Angela Jean Galloway, RDH
• Elina Siranoush Galovich
• Cecile Gambrell, PERSONAL CARE WORKER
• Patrick Robert Gangnon, MS CCC SLP
• Mariah Katherine Ganske
• Jeanne Gantenbein
• Ariana Garcia, MSCP, LPC-IT
• James David Gardner, MD

• Internal Medicine Physician in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Internal Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.

Verify at the official NPI Registry.