DHIREN K GANDHI MD
NPI 1295792919
Family Medicine in Little Egg Harbor Twp, NJ
About Dhiren K Gandhi Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DHIREN K GANDHI MD (NPI 1295792919) is an individual family medicine provider in Little Egg Harbor Twp, New Jersey, licensed in New Jersey (MA07935900) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through January 10, 2027, and is affiliated with Jersey Shore University Medical Center.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dhiren K 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.
Medicare Billing Reassignments
2Medicare enrollment records show Dhiren Gandhi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Little Egg Harbor Twp, NJ 08087
- Reassigned Medicare billing, New Jersey enrollment
- 4 clinicians in this Medicare group
Little Egg Harbor, NJ 08087
- Reassigned Medicare billing, New Jersey enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 31D1063380
Dhiren Gandhi MD LLC · Little Egg Harbor Twp, NJAreas of Expertise CMS Part B claims 26
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Jersey Shore University Medical Center
Acute Care Hospitals · Neptune, NJJfk Medical Center
Acute Care Hospitals · Edison, NJSouthern Ocean Medical Center
Acute Care Hospitals · Manahawkin, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 08087 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 26
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LITTLE EGG HARBOR TWP, NJ 08087
LITTLE EGG HARBOR TWP, NJ 08087
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 Dhiren Gandhi's NPI number?
The NPI number for Dhiren Gandhi is 1295792919. It was assigned to this individual provider in the NPPES registry on April 27, 2006.
Where is Dhiren Gandhi located?
Dhiren Gandhi practices at 240 Mathistown Rd Suite 215, Little Egg Harbor Twp, NJ 08087. The listed phone number is (609) 294-4232.
What is Dhiren Gandhi's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Dhiren Gandhi enrolled in Medicare?
Yes. Dhiren 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.
Which organizations bill Medicare for Dhiren Gandhi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dhiren Gandhi reassigns Medicare benefits to 2 organizations: Dhiren Gandhi Family Practice LLC (Little Egg Harbor Twp, NJ) and Dhiren Gandhi MD LLC (Little Egg Harbor, NJ). 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 Dhiren Gandhi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Does Dhiren Gandhi hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 31D1063380) is associated with this NPI, valid through January 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Dhiren Gandhi accept?
Health plans from Oscar Health list Dhiren 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 Dhiren Gandhi affiliated with any hospitals?
According to CMS data, Dhiren Gandhi is affiliated with Jersey Shore University Medical Center, Jfk Medical Center and Southern Ocean Medical Center.
When was this NPI record last updated?
The NPPES record for Dhiren Gandhi was last updated on June 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.