NAISHALKUMAR B GANDHI M.D.
NPI 1275880726
Internal Medicine in Milwaukee, WI

Active since August 14, 2012PECOS Enrolled
2323 N LAKE DRIVE, COLUMBIA ST. MARY'S MILWAUKEE-INPATIENT MEDICINE, MILWAUKEE, WI 53211(414) 270-4932(414) 291-5195 Get Directions Write a Review

NPPES record last updated: April 21, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Naishalkumar B Gandhi M.d. NPPES

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

NAISHALKUMAR B GANDHI M.D. (NPI 1275880726) is an individual internal medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (62307) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1275880726
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameNAISHALKUMAR B GANDHICredential: M.D.
Location Address2323 N LAKE DRIVE, COLUMBIA ST. MARY'S MILWAUKEE-INPATIENT MEDICINEMilwaukee, WI 53211-4507
Mailing Address4425 N Port Washington Rd, Clinic CredentialingGlendale, WI 53212-1082
Fax(414) 291-5195
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateAugust 14, 2012
Last NPPES UpdateApril 21, 2016
NPI 1275880726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in WI · 62307
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.

2323 N LAKE DRIVE, Milwaukee, WI 53211

Accepted 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)

Naishalkumar B Gandhi M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941426480
PECOS Enrollment IDI20140718001495
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 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Follow-up hospital inpatient care per day, typically 25 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.
361 services147 patients
Follow-up hospital inpatient care per day, typically 35 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.
229 services103 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.
144 services142 patients
Initial hospital observation care per day, typically 70 minutes 99220
This service involves a healthcare professional closely monitoring your health condition during your hospital stay. It typically lasts for about 70 minutes each day. This helps in timely detection of any changes in your health, allowing for immediate response and treatment.
55 services54 patients
Initial hospital inpatient care per day, typically 70 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.
50 services50 patients
Hospital observation care on day of discharge 99217
Hospital observation care on the day of discharge involves monitoring your health status to ensure stability before you leave. This includes assessing vital signs, response to treatment, and readiness for home care or rehabilitation.
46 services46 patients

Hospital Affiliations CMS Care Compare 3

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

Waukesha Memorial Hospital

Acute Care Hospitals · Waukesha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520008
Location725 American AveWaukesha, WI 53188 · Waukesha County
Emergency services Birthing friendly

Oconomowoc Memorial Hospital

Acute Care Hospitals · Oconomowoc, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520062
Location791 E Summit AveOconomowoc, WI 53066 · Waukesha County
Emergency services Birthing friendly

Ascension All Saints Hospital

Acute Care Hospitals · Racine, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520096
Location3801 Spring StRacine, WI 53405 · Racine County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53211 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier24 claims24 services$75.52 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier20 claims20 services$31.40 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 3

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

Genetic Counselor, MS
2323 N LAKE DRIVE, WOMEN'S HOSPITAL, PERINATAL ASSESSMENT CENTER
MILWAUKEE, WI 53211
Psychiatric Unit
2323 N LAKE DRIVE
MILWAUKEE, WI 53211
Pathology (Anatomic Pathology & Clinical Pathology)
2323 N LAKE DRIVE
MILWAUKEE, WI 53211

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275880726, enumerated as an "individual" on August 14, 2012.

The provider is located at 2323 N LAKE DRIVE COLUMBIA ST. MARY'S MILWAUKEE-INPATIENT MEDICINE MILWAUKEE, WI 53211 and the phone number is (414) 270-4932.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield and CareSource. Please consult your insurance carrier or call the provider to verify.

Naishalkumar Gandhi is affiliated with: WAUKESHA MEMORIAL HOSPITAL, OCONOMOWOC MEMORIAL HOSPITAL and ASCENSION ALL SAINTS HOSPITAL.