ROOPALI GOYAL GANDHI MD
NPI 1255993408
Internal Medicine in Rocky Mount, NC

Q: What is Roopali Goyal Gandhi's NPI number?

The NPI number for Roopali Goyal Gandhi is 1255993408. It was assigned to this individual provider in the NPPES registry on July 8, 2019.

Q: What is Roopali Goyal Gandhi's specialty?

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

Active since July 08, 2019PECOS EnrolledAccepts Medicare Assignment

95.19/100

CMS Quality Rating

2460 CURTIS ELLIS DR, ROCKY MOUNT, NC 27804(828) 456-7311(252) 962-3320 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 10, 2025, Sep 9, 2022, Jul 8, 2019 (3 updates tracked since 2019).

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About Roopali Goyal Gandhi Md NPPES

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

ROOPALI GOYAL GANDHI MD (NPI 1255993408) is an individual internal medicine provider in Rocky Mount, North Carolina, licensed in New York (318030) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with Unc Health Nash, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1255993408

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameROOPALI GOYAL GANDHICredential: MD

Location Address2460 CURTIS ELLIS DRRocky Mount, NC 27804-2237

Mailing Address1425 Portland AveRochester, NY 14621-3011 · (585) 922-4000

Phone(828) 456-7311

Fax(252) 962-3320

Sole ProprietorYes

Medical School CMSOtherGraduated 2012

Enumeration DateJuly 8, 2019

Last NPPES UpdateMarch 10, 20253 updates tracked since enumeration

NPPES CertifiedMarch 10, 2025

✔ NPI 1255993408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NY · 318030

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.

Also ListedHospitalistTaxonomy 208M00000X · License 318030 (NY)

2460 CURTIS ELLIS DR, Rocky Mount, NC 27804

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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

Roopali Goyal 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 ID9436487998

PECOS Enrollment IDI20250422000391

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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

21 services19 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.

21 services15 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

15 services15 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Unc Health Nash

Acute Care Hospitals · Rocky Mount, NC

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340147

Location2460 Curtis Ellis DriveRocky Mount, NC 27804 · Nash County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27804 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

95.19/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

70.62

Promoting Interoperability

100

Improvement Activities

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.

NASH HOSPITALS INC

Nurse Anesthetist, Certified Registered