Divyakant B Gandhi, MD
Individual provider Active NPI Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Clinton Township, MI
NPI 1912004458 · NPPES record last updated Apr 30, 2026
Key facts
- NPI
- 1912004458
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X
- License
- 4301061777 (MI)
- Practice address
- 15855 19 Mile Rd
Clinton Township, MI 48038-3504 - Phone
- (586) 263-2300
- NPI assigned
- Sep 19, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 29
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Thoracic Surgery
- Education
- Other, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- W. a. Foote Memorial Hospital, Inc.
Henry Ford Macomb Hospital Corporation
Henry Ford Health System
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
- Elara Caring
- Henry Ford Allegiance Home Care
- Henry Ford Allegiance Health
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 28 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060214000258 | MI | Practitioner - Thoracic Surgery |
0648237198 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01093329A | IN | MD | Surgery Physician |
| 4301061777 | MI | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health System | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current |
Accepting new patients |
| Indiana University Health Southern Indiana Physicians LLC | Current |
Accepting new patients | |
| Ascension Medical Group Promed | Surgery | Current | Accepting new patients |
| Covenant Medical Center, Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current |
Accepting new patients |
| Henry Ford Health System | Current | Accepting new patients | |
| W.a. Foote Memorial Hospital, Inc | Current |
Accepting new patients | |
| Indiana University Health Southern Indiana Physicians, LLC | Surgery | Current |
Accepting new patients |
| Ascension Medical Group Promed | Current |
Accepting new patients | |
| Covenant Medical Center, Inc. | Current | Accepting new patients | |
| Promed Healthcare | Current |
Accepting new patients | |
| Henry Ford Health System | Current |
Accepting new patients | |
| W a Foote Memorial Hospital Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current |
Accepting new patients |
| W. a. Foote Memorial Hospital, Inc | Current | Accepting new patients | |
| McLaren Greater Lansing | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Past | Accepting new patients |
| W.a. Foote Memorial Hospital | Past | Accepting new patients |
Locations
2651 E Discovery Pkwy
Bloomington, IN 47408
Phone (812) 353-9147
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) 263-2300
1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-2892
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
9100 Brombach St
Hamtramck, MI 48212
Phone (313) 972-9000
813 W Michigan Ave
Jackson, MI 49202
Phone (517) 205-1000
205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730
1100 E Michigan Ave
Ste 201
Jackson, MI 49201
Phone (517) 205-7605
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
- dgandhi1052330@direct.hfhs.org
- dgandhi159825@direct.covenanthealthcare.com
Specialties & licenses
| 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 | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 330C313780 | Other | MI | BLUE CROSS BLUE SHIELD |
| 330C313780 | Other | MI | COMMUNITY BLUE |
| 1800007 | Other | MI | PHYSICIAN HEALTH PLAN |
| 4840090 | Medicaid | MI | |
| 1018866 | Other | MI | HEALTH ADVANTAGE NETWORK |
| 330C313780 | Other | MI | BLUE CROSS COMMUNITY BLUE |
| 1018866 | Other | MI | MCLAREN HEALTH PLAN |
| 330C313780 | Other | MI | BLUE PREFERRED PLUS |
| 300096624 | Medicaid | IN |
Other names
- Deepak B Gandhi
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dgandhi@direct.iuhealth.org | Direct |
Other providers in Clinton Township, MI
- Marvin Ray Gaines
- Juliet Gaisey
- Michael Anthony Gajewski
- Harold L. Gallick
- Taylor Galster
- Nakul Gandhi
- Lauren Gangwer
- Sahar M Gappy
- Joshua Samuel David Garber
- David Julian Garcia
All providers in Clinton Township, MI · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.