Prachi Gandhi, DO PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PRACHI GANDHI, DO PA

Practice address

1027 Town Center Dr
Orange City, FL 32763-8360

Phone

(386) 218-0222

Fax

(386) 218-0201

NPI assigned

Jun 2, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Prachi Gandhi, DONPI 1619081023

Title

Physician

Phone

(813) 528-6712

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Prachi Gandhi, DO

  • Family Medicine Physician
  • Orange City, FL
  • NPI 1619081023
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685664000000",
    "number": "1700570850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 TOWN CENTER DR",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638360",
            "telephone_number": "386-218-0222",
            "fax_number": "386-218-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 TOWN CENTER DR",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638360",
            "telephone_number": "386-218-0222",
            "fax_number": "386-218-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRACHI GANDHI, DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A",
        "authorized_official_last_name": "GANDHI",
        "authorized_official_first_name": "PRACHI",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "813-528-6712",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlene Yadira Pineda, OD
• Manuel Plaza-Luciano, M.D.
• Stefanie Polanco, OTR/L
• Timothy D Poppell, DMD
• Christy Powell, NP
• Pradeep Mathur, M.D., P.a.
• Diane Prado
• PRC Associates LLC
• Precision Home Care Agency Inc.
• Preferred Injury Physicians of Orange City

• Family Medicine Physician in Orange City, FL
• Providers in Orange City, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.