Individual provider Active NPI

Rajendra T Gandhi, MD

  • Internal Medicine Physician
  • Shreveport, LA
National Provider Identifier
1750379608
Registry record updated Nov 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L005102R Issued in LA
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, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080125000487 LA Practitioner - Internal Medicine 3072695311 Reassigns benefits to 1 organization

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

Merit-based Incentive Payment System (MIPS)

Final score
91.53 of 100Reported as apm
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

LicenseStateTypeSpecialty
L005102RLAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rajendra T Gandhi, MD, LLC Internal Medicine CurrentSince Jan 17, 2008 Accepting new patients
WK Elite Internal Medicine Internal Medicine CurrentSince Jun 15, 2022 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

  • FHIR API: https://api.platform.athenahealth.com/3361/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

Hospital & facility affiliations 8

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

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

Verify at the official NPI Registry.