DR. NEHAL SANJAY GANDHI (MD) – Rheumatology Physician, NPI 1295909919
Rheumatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
404 RHEUMATOLOGY in PA
Provider Addresses for DR. NEHAL SANJAY GANDHI (MD)
200 Old Forge Ln Ste 203
Kennett Square, PA 193481920
Phone: (610) 558-4800
Fax: (610) 558-4844
Type: Location
200 OLD FORGE LN
SUITE 203
KENNETT SQUARE, PA 193481895
Phone: (610) 388-1600
Fax: (610) 388-1601
Type: Mailing
30 LACRUE AVE STE 101
GLEN MILLS, PA 193421042
Phone: (610) 558-4800
Fax: (610) 558-4844
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 47 Open Payments records for all available years, with a total value of $1,085.
Total Amount is formed as General ($1,085) + Research ($0) + Ownership ($0) = $1,085.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Janssen Biotech, Inc. ($268).
Total Amount
$1,085
General + Research + Ownership
Payments
47
Total payment records
General Amount
$1,085
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $268 |
| Mallinckrodt Hospital Products Inc. | $209 |
| UCB, Inc. | $144 |
| PFIZER INC. | $142 |
| ABBVIE INC. | $137 |
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: 2005-12-08
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 |
|---|---|---|---|---|
| I20051208000608 | I | Rheumatology | PA | 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 |
|---|---|---|---|---|
| J0717 | Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) | 507,600 | 162 | $0 |
| J3262 | Injection, tocilizumab, 1 mg | 166,830 | 52 | $0 |
| J0129 | Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) | 72,575 | 122 | $0 |
| J1602 | Injection, golimumab, 1 mg, for intravenous use | 57,850 | 86 | $0 |
| J1745 | Injection, infliximab, excludes biosimilar, 10 mg | 29,090 | 56 | $0 |
Insurance plans in this area (ZIP 19348)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| RHEUMATOLOGY | PA | 20610 | Aspiration and/or injection of large joint or joint capsule | 357 | 100 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | PA | |
| Nurse Practitioner | PA | |
| Nurse Practitioner | PA |
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