Individual provider Active NPI

Nirav S Gandhi, M.D.

  • Internal Medicine Physician
  • Henderson, NV
National Provider Identifier
1881791564
Registry record updated Sep 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
12019 Issued in NV
Practice address
2610 W Horizon Ridge Pkwy
Suite 105
Henderson, NV 89052-2869
Phone
(702) 724-8777
Fax
(702) 724-8749
NPI assigned
Sep 17, 2006
Last updated
Sep 30, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 12019 NV Primary
Hospitalist Physician 208M00000X 12019 NV

Addresses

Primary practice location

2610 W Horizon Ridge Pkwy
Suite 105
Henderson, NV 89052-2869

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 724-8777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20061117000446 NV Practitioner - Internal Medicine 0042218497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abraham T Fakhouri MDGroup PAC ID 8628337201, 2 clinicians

Practice addresses (Care Compare)

861 Coronado Ctr Dr
Suite 220
Henderson, NV 89052-3992
Phone (702) 933-1485

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.98 of 100Reported as apm
Quality
85.1
Promoting interoperability
88.1
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Abraham T. Fakhouri, M.D. CurrentSince Jun 1, 2020 Accepting new patients
Desert Springs Hospital Past Accepting new patients
Sonu R Bhatia MD PC Internal Medicine Past Accepting new patients
Zenith Hospitalists Billakanti and Janapati LLP Internal Medicine PastSince Apr 1, 2005 Accepting new patients
Inpatient Consultants of Nevada, Inc. a Medical Corporation Internal Medicine Past Accepting new patients

Locations

861 Coronado Center Dr
Ste 220
Henderson, NV 89052
Phone (702) 933-1485

Interoperability endpoints

  • Direct secure messaging: nirav.gandhi.1@23484.direct.athenahealth.com

Organizations & group practices 5

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 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": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475193600000",
    "number": "1881791564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "702-724-8777",
            "fax_number": "702-724-8749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 W HORIZON RIDGE PKWY",
            "address_2": "SUITE 105",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522869",
            "telephone_number": "702-724-8777",
            "fax_number": "702-724-8749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDHI",
        "first_name": "NIRAV",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2016-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "12019",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NV",
            "license": "12019",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.