Individual provider Active NPI

Raveena Gandhi, DO

  • Family Medicine Physician
  • Hazleton, PA
National Provider Identifier
1770109993
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS021923 Issued in PA
Practice address
426 Airport Road
Hazleton, PA 18202-3840
Phone
(570) 459-9730
Fax
(570) 459-9736
NPI assigned
Jun 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS021923 PA Primary

Addresses

Primary practice location

426 Airport Road
Hazleton, PA 18202-3840

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 459-9730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20230509001565 PA Practitioner - Family Practice 7315303708 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caring Community Health CenterGroup PAC ID 5698004588, 46 clinicians
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

531 Mt Pleasant Dr
Scranton, PA 18503-1987
Phone (570) 342-8500

809 Hunter Hwy
Tunkhannock, PA 18657-8202
Phone (570) 996-2700

Hospital & facility affiliations

  • Geisinger Medical Center Hospital, Danville, PA, CCN 390006
  • Geisinger-Bloomsburg Hospital Hospital, Bloomsburg, PA, CCN 390003
  • Geisinger Wyoming Valley Medical Center Hospital, Wilkes Barre, PA, CCN 390270
  • Lehigh Valley Hospital - Hazleton Hospital, Hazleton, PA, CCN 390185

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Gslpg, Inc CurrentSince Jan 26, 2023 Accepting new patients
St. Luke'S Quakertown Hospital Current Accepting new patients
St. Luke'S Quakertown Hospital Family Medicine CurrentSince Jun 19, 2023 Accepting new patients
Caring Community Health Center Current Accepting new patients
St Luke'S Physician Group Inc Family Medicine CurrentSince Jan 26, 2023 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Jan 26, 2023 Accepting new patients
St. Luke'S Hospital Monroe Campus CurrentSince Jun 19, 2023 Accepting new patients
The Carbon Schuylkill Community Hospital, Inc. Family Medicine CurrentSince Jun 19, 2023 Accepting new patients
St. Luke'S Quakertown Hospital Family Medicine CurrentSince Jun 19, 2023 Accepting new patients
Geisinger Clinic CurrentSince Oct 13, 2025 Accepting new patients
The Carbon-Schuylkill Community Hospital, Inc. Current Accepting new patients
St. Luke'S Hospital Monroe Campus Family Medicine CurrentSince Jun 19, 2023 Accepting new patients
St Luke'S Hospital CurrentSince Jun 19, 2023 Accepting new patients
Geisinger Clinic Family Medicine CurrentSince Oct 13, 2025 Accepting new patients
St. Luke'S Hospital Family Medicine Current Accepting new patients
The Carbon Schuylkill Community Hospital, Inc. Family Medicine CurrentSince Jun 19, 2023 Accepting new patients
St. Luke'S Physician Group, Inc. Family Medicine Current Accepting new patients
Caring Community Health Center CurrentSince Aug 19, 2024 Accepting new patients
Caring Community Health Center CurrentSince Aug 19, 2024 Accepting new patients
GSL Hospital Family Medicine CurrentSince Jun 19, 2023 Accepting new patients
St. Luke'S Hospital - Anderson Campus CurrentSince Jun 19, 2023 Accepting new patients
St. Luke'S Hospital Family Medicine CurrentSince Jun 19, 2023 Accepting new patients
St. Luke'S Hosptial Family Medicine CurrentSince Jun 19, 2023 Accepting new patients
Geisinger Clinic Past Accepting new patients

Locations

111 Route 715
Brodheadsvlle, PA 18322
Phone (272) 212-0420

100 N Academy Ave
Danville, PA 17822

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

426 Airport Rd
Ste 125
Hazle Township, PA 18202
Phone (570) 829-2621

426 Airport Rd
Hazle Township, PA 18202
Phone (570) 453-0172

1104 North St
Jim Thorpe, PA 18229
Phone (570) 325-2400

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

2650 Woodglen Rd
Pottsville, PA 17901
Phone (272) 639-5755

531 Mt Pleasant Dr
Scranton, PA 18503
Phone (570) 342-8500

809 Hunter Hwy
Tunkhannock, PA 18657
Phone (570) 966-2700

25 Church St
Wilkes Barre, PA 18702
Phone (570) 340-5800

487 E Moorestown Rd
Wind Gap, PA 18091
Phone (484) 526-7850

Interoperability endpoints

  • Direct secure messaging: raveena.gandhi@slpg.direct-sluhn.org

Organizations & group practices 25

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.

View all 25

Hospital & facility affiliations 49

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

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1770109993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-459-9730",
            "fax_number": "570-459-9736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 AIRPORT ROAD",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182023840",
            "telephone_number": "570-459-9730",
            "fax_number": "570-459-9736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDHI",
        "first_name": "RAVEENA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-23",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS021923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazleton, PA

Sources for this page

Verify at the official NPI Registry.