NILAY GANDHI (MD) – Urology Physician, NPI 1861657488

NILAY GANDHI (MD) is a healthcare provider. based in Baltimore, Maryland. specializing in UROLOGY. They hold the professional credentials MD. They hold a License No. 0101258208 (VA). The NPI Number for NILAY GANDHI (MD) is 1861657488

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
NILAY GANDHI (MD)
NPI
1861657488
Phone
(314) 488-5720
Address
218 N CHARLES ST
Enumeration Date
23 July 2008
Last Update Date
1 October 2015

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7036802111
Graduation Year
2008 (18 years ago)
PAC ID
8224342399
Group Practice PAC ID
1557329406
Professional Enrollment ID
I20150805009188
Address ID
VA220331739FA3700XDRXX414
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:17State licenses:1Digital endpointsOther names

320 UROLOGY in VA

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Provider Addresses for NILAY GANDHI (MD)

  • Park Charles, 218, North Charles Street, Mount Vernon, Baltimore, Maryland, 21201, United States

    APT 1408

    BALTIMORE, MD 212014021

    Phone: (314) 488-5720

    Type: Mailing

  • The Potomac Center, 2296, Opitz Boulevard, Woodbridge, Prince William County, Virginia, 22191, United States

    SUITE 350

    WOODBRIDGE, VA 221913300

    Phone: (703) 680-2111

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 75 Open Payments records for all available years, with a total value of $59,342.

Total Amount is formed as General ($59,342) + Research ($0) + Ownership ($0) = $59,342.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Accord Healthcare, Inc. ($24,955).

Total Amount

$59,342

General + Research + Ownership

Payments

75

Total payment records

General Amount

$59,342

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2015-08-05

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150803001516IUrologyVATBD
I20150805009188IUrologyDCTBD

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
J3145Injection, testosterone undecanoate, 1 mg65,25037$0
J1952Leuprolide injectable, camcevi, 1 mg1,09222$0
87798Detection test by nucleic acid for organism, amplified probe technique83262$0
99214Established patient office or other outpatient visit, 30-39 minutes569408$0
99213Established patient office or other outpatient visit, 20-29 minutes347275$0
View full utilization report →

Insurance plans in this area (ZIP 21201)

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Provider's Procedures

NILAY GANDHI (MD) performs procedures in UROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
UROLOGYVA81002Urinalysis, manual test144121

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: 1557329406View full group profile
NameSpecialtyState
U R O L O G YVA
Physician AssistantVA
-VA
U R O L O G YDC
U R O L O G YVA
U R O L O G YVA
Interventional RadiologyVA
Physician AssistantVA
U R O L O G YVA
U R O L O G YPA

Reviews

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Frequently asked questions

What is NILAY GANDHI (MD)'s NPI number?
NILAY GANDHI (MD)'s NPI is 1861657488 — the number used across U.S. healthcare to identify this provider.
Would NILAY GANDHI (MD) appear as active to a payer?
You can treat NILAY GANDHI (MD) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe NILAY GANDHI (MD)'s focus?
For NILAY GANDHI (MD), the primary taxonomy reads as Urology Physician. Clinical services aligned with this taxonomy classification.
Is NILAY GANDHI (MD) located near Baltimore?
NILAY GANDHI (MD) currently maps to Baltimore, Maryland in this extract.
Does NILAY GANDHI (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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