Individual provider Active NPI

Gandhi Mohandas Gutta, MD

  • Surgery Physician
  • Oak Brook, IL
National Provider Identifier
1730126087
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Practice address
29 North Tower Road
Oak Brook, IL 60523-1103
Phone
(630) 627-1990
Fax
(630) 627-7757
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 23362 AZ
Surgery Physician 208600000X C51269 CA
Surgery Physician 208600000X ME88434 FL
Surgery Physician 208600000X 12182 HI
Surgery Physician 208600000X 13266 NE
Surgery Physician 208600000X IL Primary

Addresses

Primary practice location

29 North Tower Road
Oak Brook, IL 60523-1103

Mailing address

29 North Tower Road
Dr Gandhi M Gutta
Oak Brook, IL 60523-1103
Phone (630) 627-1990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C51269CAMDProsthetics Case Management
23362AZMDSurgery Physician
ME88434FLMDSurgery Physician
12182HIMDSurgery Physician
036053064ILMDSurgery Physician
13266NEMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gandhi Mohandas Gutta, M.D.S.C Surgery Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730126087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 NORTH TOWER ROAD",
            "address_2": "DR GANDHI M GUTTA",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231103",
            "telephone_number": "630-627-1990",
            "fax_number": "630-627-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 NORTH TOWER ROAD",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231103",
            "telephone_number": "630-627-1990",
            "fax_number": "630-627-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTTA",
        "first_name": "GANDHI",
        "middle_name": "MOHANDAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "23362",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "C51269",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME88434",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "HI",
            "license": "12182",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NE",
            "license": "13266",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.