Individual provider Active NPI

Divyakant B Gandhi, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Clinton Township, MI
National Provider Identifier
1912004458
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
4301061777 Issued in MI
Practice address
15855 19 Mile Rd
Clinton Township, MI 48038-3504
Phone
(586) 263-2300
NPI assigned
Sep 19, 2006
Last updated
Apr 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060214000258 MI Practitioner - Thoracic SurgeryPractitioner - Vascular Surgery 0648237198 Reassigns benefits to 5 organizations

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
Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians

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

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01093329AINMDSurgery Physician
4301061777MIMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
1377SDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Southern Indiana Physicians, LLC Surgery CurrentSince Nov 26, 2024 Accepting new patients
Indiana University Health Southern Indiana Physicians LLC CurrentSince Nov 26, 2024 Accepting new patients
Henry Ford Health System Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Sep 25, 2024 Accepting new patients
Henry Ford Health System Current Accepting new patients
Promed Healthcare CurrentSince Apr 25, 2024 Accepting new patients
Beacon Medical Group Michigan Inc Surgery Current Accepting new patients
W.a. Foote Memorial Hospital CurrentSince Sep 25, 2024 Accepting new patients
Covenant Medical Center, Inc Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Feb 22, 2024 Accepting new patients
Beacon Medical Group Michigan Inc CurrentSince Apr 25, 2024 Accepting new patients
W. a. Foote Memorial Hospital Current Accepting new patients
W.a. Foote Memorial Hospital Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Sep 25, 2024 Accepting new patients
Henry Ford Health System CurrentSince Sep 25, 2024 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

  • Direct secure messaging: dgandhi@direct.iuhealth.org
  • Direct secure messaging: dgandhi1052330@direct.hfhs.org
  • Direct secure messaging: 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.

View all 16

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.