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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: November 01, 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
Phone(414) 270-4932
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
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

5

Medicare enrollment records show Naishalkumar Gandhi reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Columbia St. Mary's Hospital Milwaukee Inc
Same address
Multi-Specialty
2323 N LAKE DR
Milwaukee, WI 53211
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Columbia St Marys Hospital Milwaukee Inc
  • 856 clinicians in this Medicare group
NPI 1225071491 (414) 585-1000
Ascension Medical Group-Southeast Wisconsin Inc
Same address
Anesthesiology
2301 N LAKE DR
Milwaukee, WI 53211
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,343 clinicians in this Medicare group
NPI 1194473066 (414) 585-1000
Apogee Medical Group, Waukesha, S.C.
19 mi
Hospitalist
725 AMERICAN AVE
Waukesha, WI 53188
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Apogee Medical Group Waukesha Sc
  • 81 clinicians in this Medicare group
NPI 1528544608 (262) 928-5400
Ascension Medical Group-Fox Valley Wisconsin, Inc
83 mi
Multi-Specialty
101 MAIN ST
Neenah, WI 54956
  • Reassigned Medicare billing, Wisconsin enrollment
  • 444 clinicians in this Medicare group
NPI 1730126392 (920) 727-4200
Apogee Medical Group, Wisconsin, S.C.
100 mi
Internal Medicine
744 S WEBSTER AVE
Green Bay, WI 54301
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Apogee Medical Group Wisconsin Sc
  • 112 clinicians in this Medicare group
NPI 1629415591 (920) 433-7970

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.
368 services161 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.
185 services97 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.
171 services167 patients
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.
86 services86 patients

Hospital Affiliations CMS Care Compare 4

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

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520051
Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee 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 SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520136
Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee 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.

ANITA THAKUR MD
Pathology (Anatomic Pathology & Clinical Pathology)
2323 N LAKE DRIVE
MILWAUKEE, WI 53211
Milwaukee County (414) 291-1989
EMMA MAE CARLTON GC
Genetic Counselor, MS
2323 N LAKE DRIVE, WOMEN'S HOSPITAL, PERINATAL ASSESSMENT CENTER
MILWAUKEE, WI 53211
Milwaukee County (414) 585-1714
COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC
Psychiatric Unit
2323 N LAKE DRIVE
MILWAUKEE, WI 53211
Milwaukee County (414) 585-1000

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 Naishalkumar Gandhi's NPI number?

The NPI number for Naishalkumar Gandhi is 1275880726. It was assigned to this individual provider in the NPPES registry on August 14, 2012.

Where is Naishalkumar Gandhi located?

Naishalkumar Gandhi practices at 2323 N Lake Drive Columbia St. Mary's Milwaukee-Inpatient Medicine, Milwaukee, WI 53211. The listed phone number is (414) 270-4932.

What is Naishalkumar Gandhi's specialty?

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

Is Naishalkumar Gandhi enrolled in Medicare?

Yes. Naishalkumar Gandhi is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Naishalkumar Gandhi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Naishalkumar Gandhi reassigns Medicare benefits to 5 organizations: Columbia St. Mary's Hospital Milwaukee Inc (Milwaukee, WI), Ascension Medical Group-Southeast Wisconsin Inc (Milwaukee, WI), Apogee Medical Group, Waukesha, S.C. (Waukesha, WI), Ascension Medical Group-Fox Valley Wisconsin, Inc (Neenah, WI) and Apogee Medical Group, Wisconsin, S.C. (Green Bay, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Naishalkumar Gandhi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Naishalkumar Gandhi accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource (Common Ground Healthcare) list Naishalkumar 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 Naishalkumar Gandhi affiliated with any hospitals?

According to CMS data, Naishalkumar Gandhi is affiliated with Waukesha Memorial Hospital, Ascension Columbia St Mary's Hospital Milwaukee, Oconomowoc Memorial Hospital and Ascension SE Wisconsin Hospital.

When was this NPI record last updated?

The NPPES record for Naishalkumar Gandhi was last updated on April 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.