DHIREN K GANDHI (MD) – Family Medicine Physician, NPI 1295792919
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,515 FAMILY PRACTICE in NJ
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Provider Addresses for DHIREN K GANDHI (MD)
240, Mathistown Road, Lenape Square, Little Egg Harbor Township, Ocean County, New Jersey, 08087, United States
SUITE 215
LITTLE EGG HARBOR TWP, NJ 080874061
Phone: (609) 294-4232
Fax: (609) 294-4235
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)
CMS reports 157 Open Payments records for all available years, with a total value of $2,599.
Total Amount is formed as General ($2,599) + Research ($0) + Ownership ($0) = $2,599.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($428).
Total Amount
$2,599
General + Research + Ownership
Payments
157
Total payment records
General Amount
$2,599
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $428 |
| AstraZeneca Pharmaceuticals LP | $408 |
| Otsuka America Pharmaceutical, Inc. | $212 |
| GlaxoSmithKline, LLC. | $171 |
| Amgen Inc. | $143 |
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: 2006-01-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060123000705 | I | Family Practice | NJ | 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 |
|---|---|---|---|---|
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 2,963 | 272 | $0 |
| 99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 1,490 | 196 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,034 | 267 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 485 | 123 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 309 | 147 | $0 |
Insurance plans in this area (ZIP 08087)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | NJ | 90670 | Pneumococcal vaccine for injection into muscle | 53 | 50 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NJ |
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