Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Q: 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.

Q: What is Prasanthi Gandham's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Q: When was this NPI record last updated?

The NPPES record for Prasanthi Gandham was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.

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: August 13, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 13, 2026, Apr 10, 2020, Sep 25, 2019 and 1 more (4 updates tracked since 2018).

On this page

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 pediatric endocrinology 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 Taxonomy2080P0205X

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 UpdateAugust 13, 20264 updates tracked since enumeration

NPPES CertifiedAugust 13, 2026

✔ NPI 1306135389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0205X

Licenses✔ Licensed in KY · 47284✔ Licensed in OH · 35.134354✔ Licensed in VA · 0116028500

Definition

A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 0116028500 (VA)

411 E CHESTNUT ST, Louisville, KY 40202

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Secondary Practice Location 1

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

Other Identifiers 2

Medicaid7100212920KY

Medicaid201242010IN

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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

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 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.

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, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

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 August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.