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PRASANTHI PASALA GANDHAM M.D.
NPI 1306135389
Pediatrics in Louisville, KY

Active since March 30, 2011PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
411 E CHESTNUT ST, LOUISVILLE, KY 40202(502) 588-3400(502) 588-3401 Get Directions Write a Review

NPPES record last updated: June 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 10, 2020, Sep 25, 2019, Jun 25, 2018 (3 updates tracked since 2018).

About Prasanthi Pasala Gandham M.d. NPPES

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

PRASANTHI PASALA GANDHAM M.D. (NPI 1306135389) is an individual pediatrics provider in Louisville, Kentucky, licensed in Kentucky (47284) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Akron, and is a graduate of University Of Cincinnati College Of Medicine (2007).

NPPES Registry Identity

NPI1306135389
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NamePRASANTHI PASALA GANDHAMCredential: M.D.
Location Address411 E CHESTNUT STLouisville, KY 40202
Mailing AddressPo Box 776879Chicago, IL 60677-6879 · (502) 272-5817 · Fax (502) 272-5339
Phone(502) 588-3400
Fax(502) 588-3401
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2007
Enumeration DateMarch 30, 2011
Last NPPES UpdateJune 3, 20223 updates tracked since enumeration
NPPES CertifiedJune 3, 2022
✔ NPI 1306135389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in KY · 47284
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPediatrics · Pediatric EndocrinologyTaxonomy 2080P0205X · License 0116028500 (VA), 35.134354 (OH)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 0116028500 (VA)
411 E CHESTNUT ST, Louisville, KY 40202
Open in Google Maps ↗

Secondary Practice Location 1

Location 11 Perkins Sq DeptAkron, OH 44308 · Phone (330) 543-3276

Other Identifiers 2

Medicaid201242010IN
Medicaid7100212920KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter from Meridian and more.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

Prasanthi Pasala Gandham M.d. 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 ID4688890742
PECOS Enrollment IDI20140725000458
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

PATRICIA GAIL WILLIAMS MD
Pediatrics (Developmental - Behavioral Pediatrics)
411 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 588-0850
MS. KIMBERLY LYNNE HALL DNP FNP-BC
Nurse Practitioner (Family)
411 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 588-2201
MS. ANN ELIZABETH LORIMER PA-C
Physician Assistant
411 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 588-7600
AMANDA BRIAN ROGERS MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
411 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 588-3650
HALLEY STEWART GC
Genetic Counselor, MS
411 E CHESTNUT ST, LEVEL 2
LOUISVILLE, KY 40202
Jefferson County (502) 588-0850
DR. MARY E FALLAT M.D.
Surgery (Pediatric Surgery)
411 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 588-0390
JESSICA RAY COLEMAN APRN
Nurse Practitioner (Family)
411 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 588-3400
ALICE BOOS-EDWARDS APRN
Nurse Practitioner (Pediatrics)
411 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 588-2201

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 Prasanthi Gandham's NPI number?

The NPI number for Prasanthi Gandham is 1306135389. It was assigned to this individual provider in the NPPES registry on March 30, 2011.

Where is Prasanthi Gandham located?

Prasanthi Gandham practices at 411 E Chestnut St, Louisville, KY 40202. The listed phone number is (502) 588-3400.

What is Prasanthi Gandham's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Prasanthi Gandham enrolled in Medicare?

Yes. Prasanthi Gandham 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 Prasanthi Gandham accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter from Meridian and Ambetter of Tennessee and 1 other insurer list Prasanthi Gandham 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.

When was this NPI record last updated?

The NPPES record for Prasanthi Gandham was last updated on June 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.