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JAGJEEVAN RAO GANDRA MD
NPI 1205821014
Pediatrics in Michigan City, IN

Active since September 19, 2005PECOS Enrolled
3723 FRANKLIN ST, MICHIGAN CITY, IN 46360(219) 874-3313(219) 878-2330 Get Directions Write a Review

NPPES record last updated: April 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 13, 2023, Mar 19, 2021 (2 updates tracked since 2021).

About Jagjeevan Rao Gandra Md NPPES

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

JAGJEEVAN RAO GANDRA MD (NPI 1205821014) is an individual pediatrics provider in Michigan City, Indiana, licensed in Indiana (01045405A) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205821014
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJAGJEEVAN RAO GANDRACredential: MD
Location Address3723 FRANKLIN STMichigan City, IN 46360-7310
Mailing AddressPo Box 781076Detroit, MI 48278-1076 · (317) 528-4800 · Fax (317) 865-1479
Phone(219) 874-3313
Fax(219) 878-2330
Sole ProprietorNo
Enumeration DateSeptember 19, 2005
Last NPPES UpdateApril 13, 20232 updates tracked since enumeration
NPPES CertifiedApril 13, 2023
✔ NPI 1205821014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IN · 01045405A
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3723 FRANKLIN ST, Michigan City, IN 46360
Open in Google Maps ↗

Other Identifiers 2

Medicaid200096690IN
Other000000371639IN · Anthem

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jagjeevan Rao Gandra Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 46360 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 6

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

DR. MALATHI SESHADRI M.D
Obstetrics & Gynecology
3723 FRANKLIN ST
MICHIGAN CITY, IN 46360
Laporte County (219) 874-3313
DR. VIDYA KORA MD
Internal Medicine
3723 FRANKLIN ST
MICHIGAN CITY, IN 46360
Laporte County (219) 874-3313
DOBBEN MEDICAL CORP
Radiology (Diagnostic Radiology)
3723 FRANKLIN ST
MICHIGAN CITY, IN 46360
Laporte County (219) 874-3313
MR. JEFFREY PAUL WIENCEK FNP
Nurse Practitioner (Family)
3723 FRANKLIN ST
MICHIGAN CITY, IN 46360
Laporte County (219) 874-3313
FRANKLIN CLINIC P.C
Clinic/Center (Multi-Specialty)
3723 FRANKLIN ST
MICHIGAN CITY, IN 46360
Laporte County (219) 874-3313
DR. HITENDRAKUMAR M PATEL MD
Internal Medicine
3723 FRANKLIN ST
MICHIGAN CITY, IN 46360
Laporte County (219) 874-3313

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 Jagjeevan Gandra's NPI number?

The NPI number for Jagjeevan Gandra is 1205821014. It was assigned to this individual provider in the NPPES registry on September 19, 2005.

Where is Jagjeevan Gandra located?

Jagjeevan Gandra practices at 3723 Franklin St, Michigan City, IN 46360. The listed phone number is (219) 874-3313.

What is Jagjeevan Gandra's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jagjeevan Gandra enrolled in Medicare?

Yes. Jagjeevan Gandra is registered in the Medicare PECOS enrollment system.

What insurance does Jagjeevan Gandra accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Jagjeevan Gandra 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 Jagjeevan Gandra was last updated on April 13, 2023. 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.