VIDYADHAR R. GANDRA (M.D.) – Cardiovascular Disease Physician, NPI 1770580789
Cardiovascular Disease Physician
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NPPES metrics only — not quality of care.
722 CARDIOVASCULAR DISEASE (CARDIOLOGY) in IN
Provider Addresses for VIDYADHAR R. GANDRA (M.D.)
1205, South Main Street, Crown Point, Lake County, Indiana, 46307, United States
SUITE 101
CROWN POINT, IN 463073677
Phone: (219) 662-0077
Fax: (219) 661-2155
Type: Mailing
1205 S Main St Ste 101
Crown Point, IN 463073677
Phone: (219) 662-0077
Fax: (219) 681-6701
Type: Location
PO BOX 781076
DETROIT, MI 482781076
Phone: (317) 528-4800
Fax: (317) 865-1479
Type: Mailing
12750 ST FRANCIS DR STE 320
CROWN POINT, IN 460370264
Phone: (219) 662-0077
Fax: (219) 662-9496
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.
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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: 2021-05-25
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 |
|---|---|---|---|---|
| I20091104000042 | I | Cardiovascular Disease (Cardiology) | IN | TBD |
| I20210525002275 | I | Cardiovascular Disease (Cardiology) | CA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 431 | 262 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 200 | 182 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 59 | 52 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 53 | 53 | $0 |
Insurance plans in this area (ZIP 46307)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | IN | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 11 | 11 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | IN | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 53 | 52 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | IN | 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 13 | 13 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | IN | 93922 | Ultrasound study of arteries of both arms and legs | 21 | 21 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| - | IN | |
| - | IN | |
| - | MI | |
| - | IN | |
| - | IN | |
| Family Practice | IN | |
| - | MI | |
| Internal Medicine | IN | |
| Internal Medicine, Emergency Medicine | MI |
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