DR. UMESH I GANDHI MD
NPI 1205056660
Internal Medicine in Saint Louis, MO
About Dr. Umesh I Gandhi Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. UMESH I GANDHI MD (NPI 1205056660) is an individual internal medicine provider in Saint Louis, Missouri, licensed in Missouri (2009016995) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and is a graduate of Other (2002).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Umesh I 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.
Medicare Billing Reassignments
5Medicare enrollment records show Umesh Gandhi reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Louis, MO 63128
- Reassigned Medicare billing, Missouri enrollment
- Medicare enrollment name: St Anthonys Physician Organization Hospitalist Services Lc
- 340 clinicians in this Medicare group
Fenton, MO 63026
- Reassigned Medicare billing, Missouri enrollment
- 255 clinicians in this Medicare group
Saint Louis, MO 63141
- Reassigned Medicare billing, Illinois enrollment
- 507 clinicians in this Medicare group
Bridgeton, MO 63044
- Reassigned Medicare billing, Missouri enrollment
- 301 clinicians in this Medicare group
Bridgeton, MO 63044
- Reassigned Medicare billing, Missouri enrollment
- 38 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Hospital St Louis
Acute Care Hospitals · Saint Louis, MOMercy Hospital South
Acute Care Hospitals · Saint Louis, MOSsm St Joseph Hospital West
Acute Care Hospitals · Lake Saint Louis, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63128 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT LOUIS, MO 63128
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 Umesh Gandhi's NPI number?
The NPI number for Umesh Gandhi is 1205056660. It was assigned to this individual provider in the NPPES registry on April 26, 2007.
Where is Umesh Gandhi located?
Umesh Gandhi practices at 10010 Kennerly Rd, Saint Louis, MO 63128. The listed phone number is (314) 525-1328.
What is Umesh Gandhi's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Umesh Gandhi enrolled in Medicare?
Yes. Umesh 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.
Which organizations bill Medicare for Umesh Gandhi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Umesh Gandhi reassigns Medicare benefits to 5 organizations: St Anthonys Physician Organization Hospitalist Services, L.C. (Saint Louis, MO), Cogent Healthcare Of Missouri, Inc (Fenton, MO), Fairview Heights Medical Group, Sc (Saint Louis, MO), Sound Physicians Of Illinois, LLC (Bridgeton, MO) and Impact Physician Group, Missouri, LLC (Bridgeton, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Umesh Gandhi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Umesh Gandhi accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Umesh 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.
Is Umesh Gandhi affiliated with any hospitals?
According to CMS data, Umesh Gandhi is affiliated with Mercy Hospital St Louis, Mercy Hospital South and Ssm St Joseph Hospital West.
When was this NPI record last updated?
The NPPES record for Umesh Gandhi was last updated on November 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Umesh I Gandhi, MD · NPI 1205056660
Internal Medicine physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since April 26, 2007.
## Identity
- **NPI:** 1205056660 (Entity type: Individual)
- **Enumerated:** April 26, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 2009016995 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 10010 KENNERLY RD, Saint Louis, MO 63128-2106
- **Phone:** (314) 525-1328
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): St Anthonys Physician Organization Hospitalist Services, L.C. (NPI 1407216336, Saint Louis, MO); Cogent Healthcare Of Missouri, Inc (NPI 1780961599, Fenton, MO); Fairview Heights Medical Group, Sc (NPI 1811392210, Saint Louis, MO); Sound Physicians Of Illinois, LLC (NPI 1043598865, Bridgeton, MO); Impact Physician Group, Missouri, LLC (NPI 1962971531, Bridgeton, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** November 16, 2023
- **Other identifiers:** Medicaid 1205056660 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1205056660) · Data from the CMS NPPES public registry.