Active NPI
Gunjan Y Gandhi, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- ME100981
- Practice address
- 653 W 8TH St
Jacksonville, FL 32209-6511 - Phone
- (904) 383-1004
- Fax
- (904) 633-0022
- NPI assigned
- Dec 21, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 45977 | MN | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | ME100981 | FL | Primary |
Addresses
Primary practice location
653 W 8TH St
Jacksonville, FL 32209-6511
Mailing address
PO Box 44008
Jacksonville, FL 32231-4008
Phone (904) 244-3660
Other practice location 1
255 Smith Ave N
Suite 100
Saint Paul, MN 55102-2572
Phone (651) 241-5000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003166313A | Medicaid | GA | |
| A0319Y | Other | FL | MEDICARE |
| 570668800 | Medicaid | MN | |
| 000257900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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
- Endocrinology
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
655 W 8TH St
Jacksonville, FL 32209-6511
Phone (904) 244-6700
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 59.59 of 100
- Quality
- 59.93
- Promoting interoperability
- 0
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME100981 | FL | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Florida Jacksonville Physicians Inc | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| Mayo Clinic | Past | Accepting new patients |
Locations
655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680
655 W 8th St
Fl 1
Jacksonville, FL 32209
Phone (904) 244-3817
653 W 8th St
Jacksonville, FL 32209
Phone (904) 244-3902
15255 Max Leggett Pkwy
Ste 3900
Jacksonville, FL 32218
Phone (352) 265-8940
Interoperability endpoints
- ggandhi188182@direct.shands.ufl.edu
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1144276452
-
- Endocrinology, Diabetes & Metabolism Physician
- Jacksonville, FL
- NPI 1770743049
-
- Physiological Laboratory
- Jacksonville, FL
- NPI 1831800952
-
- Clinical Medical Laboratory
- Rochester, MN
- NPI 1083249577
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Urgent Care Clinic/Center
- Jacksonville, FL
- NPI 1144962408
Hospital
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1821186313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1952387912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 44008",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322314008",
"telephone_number": "904-244-3660",
"fax_number": "904-244-3425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "653 W 8TH ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322096511",
"telephone_number": "904-383-1004",
"fax_number": "904-633-0022"
}
],
"practiceLocations": [
{
"address_1": "255 Smith Ave N",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Saint Paul",
"state": "MN",
"postal_code": "551022572",
"country_code": "US",
"telephone_number": "651-241-5000",
"fax_number": "651-241-7678",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GANDHI",
"first_name": "GUNJAN",
"middle_name": "Y",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-21",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "MN",
"license": "45977",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "FL",
"license": "ME100981",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003166313A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "A0319Y",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "570668800",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000257900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.