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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KRUPA GANDHI MD
NPI 1255891131
Internal Medicine in Millburn, NJ

Active since March 25, 2019PECOS Enrolled
90 MILLBURN AVE STE 106, MILLBURN, NJ 07041(973) 309-6192(973) 440-3696 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Krupa Gandhi Md NPPES

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

KRUPA GANDHI MD (NPI 1255891131) is an individual internal medicine provider in Millburn, New Jersey, licensed in New Jersey (25MA11754900) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Cooperman Barnabas Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1255891131
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKRUPA GANDHICredential: MD
Location Address90 MILLBURN AVE STE 106Millburn, NJ 07041-1933
Mailing Address90 Millburn Ave Ste 106Millburn, NJ 07041-1933 · (973) 309-6192 · Fax (973) 440-3696
Phone(973) 309-6192
Fax(973) 440-3696
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 25, 2019
Last NPPES UpdateAugust 19, 2026
NPPES CertifiedAugust 19, 2026
✔ NPI 1255891131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA11754900
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
90 MILLBURN AVE STE 106, Millburn, NJ 07041
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Krupa 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 ID4981047487
PECOS Enrollment IDI20240212004117
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 3

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
383 services355 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
328 services307 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
41 services33 patients

Hospital Affiliations CMS Care Compare

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

Cooperman Barnabas Medical Center

Acute Care Hospitals · Livingston, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310076
Location94 Old Short Hills RoadLivingston, NJ 07039 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07041 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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

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

RADIANT PRIMARY CARE LLC
Internal Medicine
90 MILLBURN AVE STE 106
MILLBURN, NJ 07041
Essex County (669) 900-5721

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 Krupa Gandhi's NPI number?

The NPI number for Krupa Gandhi is 1255891131. It was assigned to this individual provider in the NPPES registry on March 25, 2019.

Where is Krupa Gandhi located?

Krupa Gandhi practices at 90 Millburn Ave Ste 106, Millburn, NJ 07041. The listed phone number is (973) 309-6192.

What is Krupa Gandhi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Krupa Gandhi enrolled in Medicare?

Yes. Krupa 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 Krupa Gandhi accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Krupa 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 Krupa Gandhi affiliated with any hospitals?

According to CMS data, Krupa Gandhi is affiliated with Cooperman Barnabas Medical Center.

When was this NPI record last updated?

The NPPES record for Krupa Gandhi was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.