Active NPI
Rajendra T Gandhi, MD
- Internal Medicine Physician
- Shreveport, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- L005102R
- Practice address
- 2551 Greenwood Rd
#220
Shreveport, LA 71103 - Phone
- (318) 635-9855
- Fax
- (318) 635-9857
- NPI assigned
- Oct 13, 2005
- Last updated
- Nov 5, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | L005102R | LA | Primary |
Addresses
Primary practice location
2551 Greenwood Rd
#220
Shreveport, LA 71103
Mailing address
PO Box 37063
Shreveport, LA 71133-7063
Phone (318) 635-9855
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Tulane University School of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2551 Greenwood Rd
Suite 220
Shreveport, LA 71103-3985
Phone (318) 635-9855
Hospital & facility affiliations
- Primestar Home Health of Nwla, Inc
- Stat Home Health of Northwest Louisiana, LLC
- Elara Caring
- Willis Knighton Medical Center
- Willis-Knighton Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.53 of 100
- Quality
- 81.42
- Promoting interoperability
- 94.6
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L005102R | LA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rajendra T Gandhi, MD, LLC | Internal Medicine | Current | Accepting new patients |
| WK Elite Internal Medicine | Internal Medicine | Current | Accepting new patients |
| Internal Medicine and Pediatrics Associates LLC | Internal Medicine | Past | Accepting new patients |
| Willis Knighton Medical Center, Inc. | Past | Accepting new patients |
Locations
2551 Greenwood Rd
Ste 220
Shreveport, LA 71103
Phone (318) 632-8984
Interoperability endpoints
- https://api.platform.athenahealth.com/3361/brand/1/csg/1/fhir/r4
- rgandhi@direct.wkhs.com
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Shreveport, LA
- NPI 1245800192
-
- Internal Medicine Physician
- Shreveport, LA
- NPI 1205915121
-
- Internal Medicine Physician
- Shreveport, LA
- NPI 1053595769
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1568461572
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Minden, LA
- NPI 1952350456
-
- Home Health Agency
- Sibley, LA
- NPI 1508898008
-
dba WK Bossier Health Center
- General Acute Care Hospital
- Bossier City, LA
- NPI 1003968579
-
dba Willis Knighton South Hospital
- General Acute Care Hospital
- Shreveport, LA
- NPI 1124170691
-
dba WK Pierremont Health Center
- General Acute Care Hospital
- Shreveport, LA
- NPI 1275685539
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1568461572
-
dba Willis Knighton Rehabilitation Unit
- Rehabilitation Hospital Unit
- Shreveport, LA
- NPI 1710039896
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352073600000",
"number": "1750379608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 37063",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711337063",
"telephone_number": "318-635-9855",
"fax_number": "318-635-9857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2551 GREENWOOD RD",
"address_2": "#220",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "71103",
"telephone_number": "318-635-9855",
"fax_number": "318-635-9857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANDHI",
"first_name": "RAJENDRA",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-13",
"last_updated": "2012-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "L005102R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; 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.