DR. UMESH I GANDHI (MD) – Internal Medicine Physician, NPI 1205056660
Internal Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
8,824 INTERNAL MEDICINE in IL
Provider Addresses for DR. UMESH I GANDHI (MD)
1800 E LAKE SHORE DR
DECATUR, IL 625213810
Phone: (217) 464-5811
Fax: (217) 464-1318
Type: Mailing
PO BOX 776084
CHICAGO, IL 606776084
Phone: (314) 364-4200
Type: Mailing
10010 KENNERLY RD
SAINT LOUIS, MO 631282106
Phone: (314) 525-1328
Type: Location
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: 2014-08-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090929000366 | I | Internal Medicine | MO | TBD |
| I20140828001007 | I | Hospitalist | IL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 1,206 | 339 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 132 | 123 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 88 | 86 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 55 | 55 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 53 | 30 | $0 |
Insurance plans in this area (ZIP 62521)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MO | |
| H O S P I T A L I S T | TX | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Internal Medicine, Hospitalist, Hospitalist, Internal Medicine | MO | |
| Internal Medicine | MO | |
| Family Practice | MO | |
| Internal Medicine | MO | |
| Family Practice | MO |
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