Active NPI
Divyakant B Gandhi, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Clinton Township, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 4301061777
- Practice address
- 15855 19 Mile Rd
Clinton Township, MI 48038-3504 - Phone
- (586) 263-2300
- NPI assigned
- Sep 19, 2006
- Last updated
- Apr 30, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 4301061777 | MI | |
| Surgery Physician | 208600000X | 01093329A | IN | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 01093329A | IN | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 4301061777 | MI | Primary |
Addresses
Primary practice location
15855 19 Mile Rd
Clinton Township, MI 48038-3504
Mailing address
1 Ford PL Ste 3a
Detroit, MI 48202-3450
Phone (313) 874-4806
Other practice location 1
405 W Greenlawn Ave
Suite 305
Lansing, MI 48910-2898
Phone (517) 483-4867
Other practice location 2
2651 E Discovery Pkwy
Bloomington, IN 47408-9059
Phone (812) 334-5081
Other names 1
- Deepak B Gandhi
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dgandhi@direct.iuhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- Other, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1100 E Michigan Ave
201 Henry Ford Allegiance Thoracic Surgery
Jackson, MI 49201-1849
Phone (517) 205-6007
15855 19 Mile Rd
Clinton Township, MI 48038-3504
Phone (586) 263-2300
2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-2600
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 28 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01093329A | IN | MD | Surgery Physician |
| 4301061777 | MI | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| 1377 | SD | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana University Health Southern Indiana Physicians, LLC | Surgery | Current | Accepting new patients |
| Indiana University Health Southern Indiana Physicians LLC | Current | Accepting new patients | |
| Henry Ford Health System | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Henry Ford Health System | Current | Accepting new patients | |
| Promed Healthcare | Current | Accepting new patients | |
| Beacon Medical Group Michigan Inc | Surgery | Current | Accepting new patients |
| W.a. Foote Memorial Hospital | Current | Accepting new patients | |
| Covenant Medical Center, Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Beacon Medical Group Michigan Inc | Current | Accepting new patients | |
| W. a. Foote Memorial Hospital | Current | Accepting new patients | |
| W.a. Foote Memorial Hospital | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Henry Ford Health System | Current | Accepting new patients | |
| Covenant Medical Center, Inc. | Current | Accepting new patients | |
| W.a. Foote Memorial Hospital | Past | Accepting new patients | |
| McLaren Greater Lansing | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Past | Accepting new patients |
Locations
2651 E Discovery Pkwy
Bloomington, IN 47408
Phone (812) 353-5252
727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2373
1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-4806
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
9100 Brombach St
Hamtramck, MI 48212
Phone (313) 972-9000
1100 E Michigan Ave
Ste 201
Jackson, MI 49201
Phone (517) 205-7605
205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730
813 W Michigan Ave
Jackson, MI 49202
Phone (517) 205-1000
1722 Shaffer St
Kalamazoo, MI 49048
Phone (269) 226-5600
7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405
1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220
700 Cooper Ave
Saginaw, MI 48602
Phone (989) 583-6000
Interoperability endpoints
- dgandhi@direct.iuhealth.org
- dgandhi1052330@direct.hfhs.org
- dgandhi159825@direct.covenanthealthcare.com
Organizations & group practices 16
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.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
dba Allegiance Health
- Internal Medicine Physician
- Jackson, MI
- NPI 1760437826
-
dba Henry Ford Macomb Family Medicine
- Family Medicine Physician
- Clinton TWP, MI
- NPI 1134265986
-
dba Beacon Medical Group Michigan
- Family Medicine Physician
- Portage, MI
- NPI 1497709869
Surgery
-
dba Covenant HealthCare
- Emergency Medicine Physician
- Saginaw, MI
- NPI 1972590412
-
dba Beacon Medical Group Michigan
- Internal Medicine Physician
- Kalamazoo, MI
- NPI 1720009954
-
- Family Medicine Physician
- Saginaw, MI
- NPI 1619412376
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Detroit, MI
- NPI 1083798326
-
- Community/Retail Pharmacy
- Plymouth, MI
- NPI 1942931720
-
dba Borgess Women's Health
- Rural Health Clinic/Center
- Plainwell, MI
- NPI 1487708830
-
dba Henry Ford Allegiance Health
- Physician Assistant
- Jackson, MI
- NPI 1538606348
-
dba Henry Ford Allegiance Health
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Jackson, MI
- NPI 1942740311
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Elara Caring
- Home Health Agency
- Jackson, MI
- NPI 1588642110
-
dba Henry Ford Allegiance Health
- General Acute Care Hospital
- Jackson, MI
- NPI 1053403402
-
dba Henry Ford Allegiance Home Care
- Home Health Agency
- Jackson, MI
- NPI 1962586123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777507200000",
"number": "1912004458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FORD PL STE 3A",
"city": "DETROIT",
"state": "MI",
"postal_code": "482023450",
"telephone_number": "313-874-4806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15855 19 MILE RD",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480383504",
"telephone_number": "586-263-2300"
}
],
"practiceLocations": [
{
"address_1": "405 W Greenlawn Ave",
"address_2": "Suite 305",
"address_purpose": "LOCATION",
"city": "Lansing",
"state": "MI",
"postal_code": "489102898",
"country_code": "US",
"telephone_number": "517-483-4867",
"fax_number": "517-483-4861",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2651 E Discovery Pkwy",
"address_purpose": "LOCATION",
"city": "Bloomington",
"state": "IN",
"postal_code": "474089059",
"country_code": "US",
"telephone_number": "812-334-5081",
"fax_number": "812-334-5091",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GANDHI",
"first_name": "DIVYAKANT",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-19",
"last_updated": "2026-04-30",
"certification_date": "2026-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "4301061777",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IN",
"license": "01093329A",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "IN",
"license": "01093329A",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "MI",
"license": "4301061777",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dgandhi@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2651 E Discovery Pkwy",
"city": "Bloomington",
"state": "IN",
"country_code": "US",
"postal_code": "474089059",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "DEEPAK",
"last_name": "GANDHI",
"middle_name": "B",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Clinton Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.