Active NPI
Shetal Gandhi, APRN
- Nurse Practitioner
- Westmont, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209023118
- Practice address
- 815 Pasquinelli Dr
Westmont, IL 60559-1276 - Phone
- (630) 790-1872
- NPI assigned
- Mar 9, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209023118 | IL | Primary |
Addresses
Primary practice location
815 Pasquinelli Dr
Westmont, IL 60559-1276
Mailing address
PO Box 713260
Chicago, IL 60677-1260
Phone (630) 469-9200
Other practice location 1
2725 Technology Dr
Lombard, IL 60148-5675
Phone (630) 946-2700
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sgandhi186867@dulyhealthandcare.direct-ci.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Spalding Dr
Suite 3
Naperville, IL 60540-6550
Phone (630) 355-8000
2100 Glenwood Ave
Joliet, IL 60435-5487
Phone (815) 725-2121
25 N Winfield Rd
Winfield, IL 60190-1222
30 Stratford Dr
Bloomingdale, IL 60108-2201
Phone (630) 893-2210
430 Pennsylvania Ave
Glen Ellyn, IL 60137-4464
Phone (630) 469-9200
Hospital & facility affiliations
- Edward Hospital
- Uchicago Medicine Adventhealth la Grange
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209023118 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dupage Medical Group LTD | Current | Accepting new patients | |
| Dupage Medical Group LTD | Current | Accepting new patients |
Locations
30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210
1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000
430 Pennsylvania Ave
Ste 240
Glen Ellyn, IL 60137
Phone (630) 364-7853
2725 Technology Dr
Lombard, IL 60148
Phone (630) 348-3300
815 Pasquinelli Dr
Westmont, IL 60559
Phone (630) 366-7854
25 N Winfield Rd
Ste 300
Winfield, IL 60190
Phone (630) 933-8100
Interoperability endpoints
- sgandhi186867@dulyhealthandcare.direct-ci.com
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Downers Grove, IL
- NPI 1801833983
-
- Durable Medical Equipment & Medical Supplies
- Glen Ellyn, IL
- NPI 1760979447
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- La Grange, IL
- NPI 1407889652
-
- Rehabilitation Hospital Unit
- La Grange, IL
- NPI 1588068274
-
- General Acute Care Hospital
- Naperville, IL
- NPI 1427069632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689033600000",
"number": "1700533791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 713260",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606771260",
"telephone_number": "630-469-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 PASQUINELLI DR",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605591276",
"telephone_number": "630-790-1872"
}
],
"practiceLocations": [
{
"address_1": "2725 Technology Dr",
"address_purpose": "LOCATION",
"city": "Lombard",
"state": "IL",
"postal_code": "601485675",
"country_code": "US",
"telephone_number": "630-946-2700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GANDHI",
"first_name": "SHETAL",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-09",
"last_updated": "2023-07-11",
"certification_date": "2023-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209023118",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sgandhi186867@dulyhealthandcare.direct-ci.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "815 Pasquinelli Dr",
"city": "Westmont",
"state": "IL",
"country_code": "US",
"postal_code": "605591276",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Westmont, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.