Individual provider Active NPI

Prili D Gandhi, MD

  • Family Medicine Physician
  • Hugo, MN
National Provider Identifier
1881868669
Registry record updated Aug 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
51110 Issued in MN
Practice address
14688 Everton Ave
He Hugo Clinic
Hugo, MN 55038
Phone
(651) 326-7701
NPI assigned
Apr 14, 2008
Last updated
Aug 10, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2018

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 51110 MN Primary

Addresses

Primary practice location

14688 Everton Ave
He Hugo Clinic
Hugo, MN 55038

Mailing address

1300 Greenbrook Blvd
Ste 204
Hanover Park, IL 60133-5456
Phone (630) 830-8100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20130102000195 IL Practitioner - Internal Medicine 2365599594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oakton Medical Associates IncGroup PAC ID 9234280652, 2 clinicians

Practice addresses (Care Compare)

1400 E Golf Rd
Suite 117
Des Plaines, IL 60016-1252
Phone (847) 635-5300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51110MNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Chiropractic Group, SC PastSince Dec 1, 2012 Accepting new patients
Healtheast Medical Research Institute Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533859200000",
    "number": "1881868669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 GREENBROOK BLVD",
            "address_2": "STE 204",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601335456",
            "telephone_number": "630-830-8100",
            "fax_number": "847-852-9259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14688 EVERTON AVE",
            "address_2": "HE HUGO CLINIC",
            "city": "HUGO",
            "state": "MN",
            "postal_code": "55038",
            "telephone_number": "651-326-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDHI",
        "first_name": "PRILI",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-14",
        "last_updated": "2018-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "51110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hugo, MN

Sources for this page

Verify at the official NPI Registry.