Individual provider Active NPI

Yousuf Khan Gandapur, MD

  • Interventional Cardiology Physician
  • West Palm Beach, FL
National Provider Identifier
1790126753
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME169735 Issued in FL
Practice address
4631 N Congress Ave Ste 202
West Palm Beach, FL 33407-3234
Phone
(561) 753-0001
Fax
(561) 753-0005
NPI assigned
Jul 8, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D81297 MD
Cardiovascular Disease Physician 207RC0000X 311536 NY
Student in an Organized Health Care Education/Training Program 390200000X
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X ME169735 FL Primary

Addresses

Primary practice location

4631 N Congress Ave Ste 202
West Palm Beach, FL 33407-3234

Mailing address

1447 Medical Park Blvd Ste 101
Wellington, FL 33414-3164
Phone (561) 753-0001

Other practice location 1

1447 Medical Park Blvd Ste 101
Wellington, FL 33414-3164
Phone (561) 753-0001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20241015002655 FL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 6305142712 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eh Cardiovascular Institute of Palm Beach, LLCGroup PAC ID 3971831611, 6 clinicians

Practice addresses (Care Compare)

1447 Medical Park Blvd
Suite 101
Wellington, FL 33414-3164
Phone (561) 753-0001

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D81297MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eh Cardiovascular Institute of Palm Beach, LLC Single Specialty CurrentSince Nov 1, 2024 Accepting new patients

Locations

1447 Medical Park Blvd
Ste 101
Wellington, FL 33414
Phone (561) 753-0001

10131 Forest Hill Blvd
Ste 101
West Palm Beach, FL 33414
Phone (561) 798-4455

4631 N Congress Ave
Ste 202
West Palm Beach, FL 33407
Phone (561) 530-1725

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: ygandapur1086262@direct.trinity-health.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/BAFIBD

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.

Hospital & facility affiliations 1

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": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1790126753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 MEDICAL PARK BLVD STE 101",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334143164",
            "telephone_number": "561-753-0001",
            "fax_number": "561-753-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4631 N CONGRESS AVE STE 202",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073234",
            "telephone_number": "561-753-0001",
            "fax_number": "561-753-0005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1447 Medical Park Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Wellington",
            "state": "FL",
            "postal_code": "334143164",
            "country_code": "US",
            "telephone_number": "561-753-0001",
            "fax_number": "561-753-0005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANDAPUR",
        "first_name": "YOUSUF",
        "middle_name": "KHAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-08",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D81297",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "311536",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME169735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.