1. Home
  2. Directory
  3. Virginia
  4. Ashburn
  5. Internal Medicine
  6. NPI Profile

AMISH M. GANDHI MD
NPI 1235273657
Internal Medicine - Endocrinology, Diabetes & Metabolism in Ashburn, VA

Active since February 18, 2007PECOS EnrolledAccepts Medicare Assignment
81.28/100
CMS Quality Rating
21785 FILIGREE CT, SUITE 203, ASHBURN, VA 20147(703) 554-1100 Get Directions Write a Review

NPPES record last updated: March 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 10, 2022, Oct 20, 2020 (2 updates tracked since 2020).

About Amish M. Gandhi Md NPPES

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

AMISH M. GANDHI MD (NPI 1235273657) is an individual endocrinology, diabetes & metabolism provider in Ashburn, Virginia, licensed in Virginia (0101254564) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Inova Loudoun Hospital, and is a graduate of Virginia Commonwealth University, School Of Medicine (2004).

NPPES Registry Identity

NPI1235273657
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameAMISH M. GANDHICredential: MD
Location Address21785 FILIGREE CT, SUITE 203Ashburn, VA 20147-6213
Mailing Address21785 Filigree Ct Ste 100Ashburn, VA 20147-6214 · (703) 554-1122 · Fax (703) 554-1047
Phone(703) 554-1100
Sole ProprietorYes
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2004
Enumeration DateFebruary 18, 2007
Last NPPES UpdateMarch 10, 20222 updates tracked since enumeration
NPPES CertifiedMarch 10, 2022
✔ NPI 1235273657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in VA · 0101254564
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
21785 FILIGREE CT, Ashburn, VA 20147
Open in Google Maps ↗

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

Amish M. 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 ID5698826931
PECOS Enrollment IDI20130903000541, I20160412002476
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.

Areas of Expertise CMS Part B claims 8

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
422 services250 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
127 services65 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
81 services67 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
42 services42 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
37 services36 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
36 services12 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Inova Loudoun Hospital

Acute Care Hospitals · Leesburg, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490043
Location44045 Riverside ParkwayLeesburg, VA 20176 · Loudoun County
Emergency services Birthing friendly

Inova Fairfax Hospital

Acute Care Hospitals · Falls Church, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490063
Location3300 Gallows RoadFalls Church, VA 22042 · Fairfax County
Emergency services Birthing friendly

Inova Fair Oaks Hospital

Acute Care Hospitals · Fairfax, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490101
Location3600 Joseph Siewick DriveFairfax, VA 22033 · Fairfax County
Birthing friendly

Reston Hospital Center

Acute Care Hospitals · Reston, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490107
Location1850 Town Center ParkwayReston, VA 20190 · Fairfax County
Emergency services

Uva Health Haymarket Medical Center

Acute Care Hospitals · Haymarket, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490144
Location15225 Healthcote BoulevardHaymarket, VA 20169 · Prince William County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20147 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

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.

81.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.77
Promoting Interoperability100
Improvement Activities40
Cost66.84

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
5 suppliers15 claims194 services$18.26 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
5 suppliers17 claims575 services$2.35 avg. paid by Medicare
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
1 supplier12 claims12 services$170.39 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
41 suppliers150 claims465 services$6.23 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
25 suppliers58 claims100 services$1.09 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
3 suppliers11 claims11 services$336.07 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. AFZAL UNISSA RASHEED MD
Family Medicine
21785 FILIGREE CT, SUITE 100
ASHBURN, VA 20147
Loudoun County (703) 554-1100
DANIELLE M. AUGUSTINO PA-C
Physician Assistant
21785 FILIGREE CT
ASHBURN, VA 20147
Loudoun County (703) 554-1130
JENNIFER KUGLER D.O.
Family Medicine
21785 FILIGREE CT, SUITE 100
ASHBURN, VA 20147
Loudoun County (703) 554-1120
ASHBURN STERLING DOCTORS
Clinic/Center (Primary Care)
21785 FILIGREE CT, SUITE 215
ASHBURN, VA 20147
Loudoun County (571) 223-5610
CARLEIGH ALEXANDRA KESSLER NP-C
Nurse Practitioner (Family)
21785 FILIGREE CT
ASHBURN, VA 20147
Loudoun County (703) 554-1100
INOVA HEALTH SYSTEM SERVICES
Clinic/Center (Urgent Care)
21785 FILIGREE CT, SUITE 100
ASHBURN, VA 20147
Loudoun County (703) 554-1111
CAROL ELIZABETH MATTES MD
Family Medicine
21785 FILIGREE CT
ASHBURN, VA 20147
Loudoun County (703) 554-1100
NICOLE FERRING HOLOVACH M.S., R.D.
Dietitian, Registered
21785 FILIGREE CT, SUITE 203
ASHBURN, VA 20147
Loudoun County (703) 554-1100

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 Amish Gandhi's NPI number?

The NPI number for Amish Gandhi is 1235273657. It was assigned to this individual provider in the NPPES registry on February 18, 2007.

Where is Amish Gandhi located?

Amish Gandhi practices at 21785 Filigree Ct Suite 203, Ashburn, VA 20147. The listed phone number is (703) 554-1100.

What is Amish Gandhi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Amish Gandhi enrolled in Medicare?

Yes. Amish 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.

Is Amish Gandhi affiliated with any hospitals?

According to CMS data, Amish Gandhi is affiliated with Inova Loudoun Hospital, Inova Fairfax Hospital, Inova Fair Oaks Hospital, Reston Hospital Center and Uva Health Haymarket Medical Center.

When was this NPI record last updated?

The NPPES record for Amish Gandhi was last updated on March 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.