NAISHALKUMAR B GANDHI (M.D.) – Internal Medicine Physician, NPI 1275880726

NAISHALKUMAR B GANDHI (M.D.) is a healthcare provider. based in Glendale, Wisconsin. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 62307 (WI). The NPI Number for NAISHALKUMAR B GANDHI (M.D.) is 1275880726

Main info

Male
Sole Proprietor
18 Years Of Experience
Name
NAISHALKUMAR B GANDHI (M.D.)
NPI
1275880726
Phone
Not provided
Address
4425 N PORT WASHINGTON RD
Enumeration Date
14 August 2012
Last Update Date
21 April 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4144472569
Graduation Year
2008 (18 years ago)
PAC ID
0941426480
Group Practice PAC ID
8628980943
Professional Enrollment ID
I20140718001495
Address ID
WI532101650MI5000XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

2,941 INTERNAL MEDICINE in WI

Provider Addresses for NAISHALKUMAR B GANDHI (M.D.)

  • 4425 N PORT WASHINGTON RD

    CLINIC CREDENTIALING

    GLENDALE, WI 532121082

    Phone:

    Type: Mailing

  • 2323 N LAKE DRIVE

    COLUMBIA ST. MARY'S MILWAUKEE-INPATIENT MEDICINE

    MILWAUKEE, WI 532114507

    Phone: (414) 270-4932

    Fax: (414) 291-5195

    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.

This can happen when there are no reportable CMS Open Payments records.

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: 2014-07-18

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140718001495IInternal MedicineWITBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes283143$0
99239Hospital discharge day management, more than 30 minutes164162$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes16182$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes8482$0
View full utilization report →

Insurance plans in this area (ZIP 53212)

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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: 8628980943View full group profile
NameSpecialtyState
-WI
Mental Health CounselorWI
-WI
Internal MedicineWI
Hospitalist, Internal MedicineWI
U R O L O G YGA
O B S T E T R I C S/ G Y N E C O L O G YWI
-OH
-WI
-WI

Reviews

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Frequently asked questions

Does NAISHALKUMAR B GANDHI (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — NAISHALKUMAR B GANDHI (M.D.) uses 1275880726.
Does CMS list NAISHALKUMAR B GANDHI (M.D.) as active?
Yes — NAISHALKUMAR B GANDHI (M.D.) is active in the NPI listing used on this page.
What taxonomy line describes NAISHALKUMAR B GANDHI (M.D.)?
For research purposes, treat NAISHALKUMAR B GANDHI (M.D.) as Internal Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does NAISHALKUMAR B GANDHI (M.D.) list a practice location?
Patients near Glendale, Wisconsin may find NAISHALKUMAR B GANDHI (M.D.) in results; validate coverage separately.
Why does NAISHALKUMAR B GANDHI (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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