DR. DEEPTHI GANDHIRAJ (M.D.) – Student in an Organized Health Care Education/Training Program, NPI 1144621012

DR. DEEPTHI GANDHIRAJ (M.D.) is a healthcare provider. based in Frisco, Texas. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 77123 (AZ). The NPI Number for DR. DEEPTHI GANDHIRAJ (M.D.) is 1144621012

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. DEEPTHI GANDHIRAJ (M.D.)
NPI
1144621012
Phone
(281) 468-9920
Address
13100 Strike Gold Blvd
Enumeration Date
10 September 2014
Last Update Date
30 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8664730663
Graduation Year
2011 (15 years ago)
PAC ID
6901183425
Group Practice PAC ID
2769814573
Professional Enrollment ID
I20220810000170
Address ID
TX787053302AU2911XSTXX404
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness85
Years active:11State licenses:3Digital endpointsOther names

13,290 INTERNAL MEDICINE in TX

Provider Addresses for DR. DEEPTHI GANDHIRAJ (M.D.)

  • 13100 Strike Gold Blvd

    Frisco, TX 750350985

    Phone: (281) 468-9920

    Type: Location

  • 1005 Broadway St

    Quincy, IL 623012834

    Phone: (217) 223-8400

    Type: Location

  • 3333 PRESTON ROAD, STE 300 PMB 1403

    FRISCO, TX 75034

    Phone: (281) 468-9920

    Type: Mailing

  • 2851 S AVENUE B BLDG 20

    YUMA, AZ 853647726

    Phone: (928) 336-2434

    Type: Location

  • 100 WOODS RD

    PMB # 506

    VALHALLA, NY 105951530

    Phone: (281) 468-9920

    Type: Mailing

  • 7548 PRESTON RD

    STE 141#1188

    FRISCO, TX 75034

    Phone: (281) 468-9920

    Type: Mailing

  • 927 Broadway St

    Quincy, IL 623012719

    Phone: (217) 223-8400

    Type: Location

  • 981 STATE HIGHWAY 121 STE 1100

    ALLEN, TX 750136148

    Phone: (281) 468-9920

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $3,594.

Total Amount is formed as General ($3,594) + Research ($0) + Ownership ($0) = $3,594.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($3,284).

Total Amount

$3,594

General + Research + Ownership

Payments

22

Total payment records

General Amount

$3,594

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2025-12-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

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
I20201204000157IPulmonary DiseaseGATBD
I20220810000170IInternal MedicineTXTBD
I20221201003082IPulmonary DiseaseMETBD
I20250522000122IInternal MedicineAZTBD
I20251216004609IPulmonary DiseaseILTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes13771$0
94726Test to determine lung volumes using sensors11699$0
94729Test to examine how well the lungs exchange gases11598$0
99215Established patient office or other outpatient visit, 40-54 minutes9261$0
94060Test to measure expiratory airflow and volume changes before and after medication administration8684$0
View full utilization report →

Insurance plans in this area (ZIP 75035)

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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: 2769814573View full group profile
NameSpecialtyState
Nurse PractitionerTX
Cardiovascular Disease (Cardiology), Interventional CardiologyTX
P S Y C H I A T R YPA
D E R M A T O L O G YMI
Nurse PractitionerTX
Psychiatry, Addiction MedicineTX
Internal Medicine, Pain ManagementTX
Nurse PractitionerTX
-TX
Nurse PractitionerTX

Reviews

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Frequently asked questions

Is DR. DEEPTHI GANDHIRAJ (M.D.) listed with a National Provider Identifier?
Yes — DR. DEEPTHI GANDHIRAJ (M.D.) has NPI 1144621012 on file in the registry.
Is DR. DEEPTHI GANDHIRAJ (M.D.) shown as active in public data?
Registry records indicate DR. DEEPTHI GANDHIRAJ (M.D.) maintains an active NPI.
What kind of doctor is DR. DEEPTHI GANDHIRAJ (M.D.)?
DR. DEEPTHI GANDHIRAJ (M.D.) is associated with Student in an Organized Health Care Education/Training Program in the directory — Clinical services aligned with this taxonomy classification.
Is DR. DEEPTHI GANDHIRAJ (M.D.) associated with Frisco?
Public fields place DR. DEEPTHI GANDHIRAJ (M.D.) around Frisco, Texas. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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