HETAL N. GANDHI MD
NPI 1013936905
Family Medicine in Houston, TX

Active since July 19, 2006PECOS EnrolledAccepts Medicare Assignment
7077 HIGHWAY 6 N, HOUSTON, TX 77095(832) 937-5905 Get Directions Write a Review

NPPES record last updated: October 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hetal N. Gandhi Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HETAL N. GANDHI MD (NPI 1013936905) is an individual family medicine provider in Houston, Texas, licensed in Texas (N5064) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1013936905
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameHETAL N. GANDHICredential: MD
Location Address7077 HIGHWAY 6 NHouston, TX 77095-2505
Mailing Address7077 Highway 6 NHouston, TX 77095-2505 · (832) 937-5905
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJuly 19, 2006
Last NPPES UpdateOctober 21, 2022
NPPES CertifiedOctober 21, 2022
NPI 1013936905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in TX · N5064 Licensed in VA · 0101240240 Licensed in IN · 01061939A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
7077 HIGHWAY 6 N, Houston, TX 77095

Other Identifiers 8

Other1231121Cha
Other7809815Aetna
OtherTN-0107John Deere Health
Other238422VA · Anthem Blue Shield
OtherC09011VA · Trailblazer Group Number
Medicaid010309832VA
OtherN5064TX · Texas Medical Board
Other011402D11VA · Trailblazer

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Hetal N. Gandhi Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597764480
PECOS Enrollment IDI20100120000752
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77095 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Practice
7077 HIGHWAY 6 N
HOUSTON, TX 77095
Nurse Practitioner (Family)
7077 HIGHWAY 6 N
HOUSTON, TX 77095
Family Medicine
7077 HIGHWAY 6 N
HOUSTON, TX 77095

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hetal Gandhi's NPI number?

The NPI number for Hetal Gandhi is 1013936905. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Hetal Gandhi located?

Hetal Gandhi practices at 7077 Highway 6 N, Houston, TX 77095. The listed phone number is (832) 937-5905.

What is Hetal Gandhi's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Hetal Gandhi enrolled in Medicare?

Yes. Hetal Gandhi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Hetal Gandhi accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Hetal Gandhi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Hetal Gandhi was last updated on October 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.