Individual provider Active NPI

Adithya Ed Gandhi, M.D.

  • Cardiovascular Disease Physician
  • Brandon, FL
National Provider Identifier
1790700052
Registry record updated Oct 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME0069937 Issued in FL
Practice address
511 Medical Oaks Ave
Brandon, FL 33511
Phone
(813) 689-8755
Fax
(813) 689-8755
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME0069937 FL Primary

Addresses

Primary practice location

511 Medical Oaks Ave
Brandon, FL 33511

Mailing address

PO Box 3530
Brandon, FL 33509-3530
Phone (813) 685-2191

Other practice location 1

320 Oakfield Dr
Suite a
Brandon, FL 33511-5723
Phone (813) 689-1912

Other identifiers 1

IdentifierTypeStateIssuer
379407500MedicaidFL

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
I20040202000731 FL Practitioner - Cardiovascular Disease (Cardiology) 0941103204 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0069937FLMDCardiovascular Disease Physician

Practice roles (8 of 10)

OrganizationSpecialtyStatusNew patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Sep 1, 2025 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC Current Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Sep 1, 2025 Accepting new patients
Total Imaging-Parsons LLC Past Accepting new patients
Sun City Imaging LLC Past Accepting new patients
Sun City Imaging LLC Past Accepting new patients
South Brandon Imaging LLC Past Accepting new patients
South Brandon Imaging LLC Past Accepting new patients

Locations

4715 S Florida Ave
Lakeland, FL 33813
Phone (863) 209-7003

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

3128 E Hillsborough Ave
Tampa, FL 33610
Phone (813) 579-1767

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: adithyagandhi@bcc.ssdirect.aprima.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1790700052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3530",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335093530",
            "telephone_number": "813-685-2191",
            "fax_number": "813-689-8755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 MEDICAL OAKS AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "33511",
            "telephone_number": "813-689-8755",
            "fax_number": "813-689-8755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Oakfield Dr",
            "address_2": "SUITE A",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335115723",
            "country_code": "US",
            "telephone_number": "813-689-1912",
            "fax_number": "813-684-3335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANDHI",
        "first_name": "ADITHYA",
        "middle_name": "ED",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME0069937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379407500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.