NPIMap

Individual provider Active NPI

Bhavika Gandhi, M.D.

  • Internal Medicine Physician
  • Wichita Falls, TX
National Provider Identifier
1790148112
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
S1097 Issued in TX
Practice address
1600 11TH St
Wichita Falls, TX 76301
Phone
(940) 263-3000
Fax
(940) 263-3018
NPI assigned
Apr 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2019

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 S1097 TX Primary

Addresses

Primary practice location

1600 11TH St
Wichita Falls, TX 76301

Mailing address

1631 11TH St Unit B
Wichita Falls, TX 76301-4332
Phone (940) 263-3000

Other practice location 1

1600 11th St
Wichita Falls, TX 76301
Phone (940) 263-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220825001767 AZ Practitioner - Internal Medicine 5395077275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southwest Kidney Institute PLCGroup PAC ID 8224930987, 100 clinicians

Practice addresses (Care Compare)

2149 E Warner Rd
Suite 101
Tempe, AZ 85284-3495
Phone (480) 610-6100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.71 of 100Reported as individual
Quality
82.99
Promoting interoperability
100
Improvement activities
40
Cost
76.04

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Kidney Institute, PLC Nephrology CurrentSince May 13, 2022 Accepting new patients
United Regional Health Care System Inc Current Accepting new patients
Southwest Kidney Institute, PLC Nephrology CurrentSince May 13, 2022 Accepting new patients

Locations

3717 S Rome St
Ste 104
Gilbert, AZ 85297

9305 W Thomas Rd
Ste 255
Phoenix, AZ 85037
Phone (623) 247-9235

2149 E Warner Rd
Ste 101
Tempe, AZ 85284
Phone (480) 610-6111

850 W Rio Salado Pkwy
Ste 201
Tempe, AZ 85281

2149 E Warner Rd
Ste 102
Tempe, AZ 85284
Phone (623) 247-0808

1600 11th St
Wichita Falls, TX 76301
Phone (940) 263-3000

1631 11th St
Unit B
Wichita Falls, TX 76301
Phone (940) 263-3000

Interoperability endpoints

  • Direct secure messaging: bhavika.gandhi.1@2697.direct.athenahealth.com
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
  • Direct secure messaging: bgandhi47453@unitedregional.medalliesdirect.net
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 3

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 5

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": "1459555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1790148112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 11TH ST UNIT B",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763014332",
            "telephone_number": "940-263-3000",
            "fax_number": "940-263-3018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 11TH ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "76301",
            "telephone_number": "940-263-3000",
            "fax_number": "940-263-3018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 11th St",
            "address_purpose": "LOCATION",
            "city": "Wichita Falls",
            "state": "TX",
            "postal_code": "76301",
            "country_code": "US",
            "telephone_number": "940-263-3000",
            "fax_number": "940-263-3018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANDHI",
        "first_name": "BHAVIKA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-02",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "S1097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.