DR. LUIS A GANDARA (M.D.) – Sports Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1407050404

DR. LUIS A GANDARA (M.D.) is a healthcare provider. based in Lake mary, Florida. specializing in PHYSICAL MEDICINE AND REHABILITATION, SPORTS MEDICINE. They hold the professional credentials M.D.. They hold a License No. MD 440572 (PA). The NPI Number for DR. LUIS A GANDARA (M.D.) is 1407050404

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. LUIS A GANDARA (M.D.)
NPI
1407050404
Phone
(407) 206-4500
Address
701 PLATINUM PT
Enumeration Date
13 June 2007
Last Update Date
4 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4078415111
Graduation Year
2005 (21 years ago)
PAC ID
9931392446
Group Practice PAC ID
9537059084
Professional Enrollment ID
I20120524000198
Address ID
FL328062008OR1414XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience83
Completeness75
Years active:18State licenses:3Digital endpointsOther names

833 PHYSICAL MEDICINE AND REHABILITATION in FL

Provider Addresses for DR. LUIS A GANDARA (M.D.)

  • 701 PLATINUM PT

    LAKE MARY, FL 327464871

    Phone: (407) 206-4500

    Fax: (407) 643-2802

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-05-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120524000198IPhysical Medicine And RehabilitationFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg1,769263$0
99213Established patient office or other outpatient visit, 20-29 minutes307217$0
20611Aspiration and/or injection of fluid large joint using ultrasound guidance199141$0
20610Aspiration and/or injection of fluid from large joint199126$0
73564X-ray of knee, 4 or more views10282$0
View full utilization report →

Insurance plans in this area (ZIP 32746)

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Provider's Procedures

DR. LUIS A GANDARA (M.D.) performs procedures in PHYSICAL MEDICINE AND REHABILITATION. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL MEDICINE AND REHABILITATIOFL73562X-ray of knee, 3 views2625
PHYSICAL MEDICINE AND REHABILITATIOFL97001Physical therapy evaluation1212

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537059084View full group profile
NameSpecialtyState
Internal MedicineFL
O B S T E T R I C S/ G Y N E C O L O G YNY
Nurse PractitionerFL
Internal MedicineFL
Vascular Surgery, General SurgeryFL
Physical Therapist In Private PracticeFL
Sports MedicineOH
Nurse PractitionerFL
Internal MedicineFL
Internal MedicineIA

Reviews

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Frequently asked questions

Can I use this page to confirm DR. LUIS A GANDARA (M.D.)'s NPI?
Yes. DR. LUIS A GANDARA (M.D.) is listed with NPI 1407050404 in the public NPI dataset.
Does the file indicate DR. LUIS A GANDARA (M.D.) is practicing under active NPI?
Directory data currently reports DR. LUIS A GANDARA (M.D.) as active.
What taxonomy line describes DR. LUIS A GANDARA (M.D.)?
For research purposes, treat DR. LUIS A GANDARA (M.D.) as Sports Medicine (Physical Medicine & Rehabilitation) Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. LUIS A GANDARA (M.D.)?
DR. LUIS A GANDARA (M.D.)'s geographic hint is Lake Mary, Florida in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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