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DR. KUMAR RAJESH GANDHI M.D.
NPI 1306208517
Emergency Medicine in Chicago, IL

Active since March 26, 2016PECOS EnrolledAccepts Medicare Assignment
211 E ONTARIO ST, SUITE 200, CHICAGO, IL 60611(312) 926-9512(312) 926-6274 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 29, 2021, Jul 24, 2020, Jan 26, 2017 and 1 more (4 updates tracked since 2016).

About Dr. Kumar Rajesh Gandhi M.d. NPPES

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

DR. KUMAR RAJESH GANDHI M.D. (NPI 1306208517) is an individual emergency medicine provider in Chicago, Illinois, licensed in Illinois (036148926) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (2016).

NPPES Registry Identity

NPI1306208517
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. KUMAR RAJESH GANDHICredential: M.D.
Location Address211 E ONTARIO ST, SUITE 200Chicago, IL 60611-3468
Mailing Address211 E Ontario St, Suite 200Chicago, IL 60611-3468 · (312) 926-9512 · Fax (312) 926-6274
Phone(312) 926-9512
Fax(312) 926-6274
Sole ProprietorNo
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2016
Enumeration DateMarch 26, 2016
Last NPPES UpdateNovember 29, 20214 updates tracked since enumeration
NPPES CertifiedJuly 24, 2020
✔ NPI 1306208517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in IL · 036148926✔ Licensed in IL · 125069048
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
211 E ONTARIO ST, Chicago, IL 60611
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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

Dr. Kumar Rajesh Gandhi 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 ID3678855707
PECOS Enrollment IDI20211124001951
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 Reassignment

Medicare enrollment records show Kumar Gandhi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
1,723 mi
Health Maintenance Organization
43112 N 15TH ST
Lancaster, CA 93534
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1982863783 (661) 726-2279

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

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

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.

DR. KRISTEN GRABOW MOORE M.D.
Emergency Medicine
211 E ONTARIO ST, SUITE 300
CHICAGO, IL 60611
Cook County (312) 694-7000
NEUROMETRIKS LTD
Psychiatry & Neurology (Neurology)
211 E ONTARIO ST, SUITE 1440
CHICAGO, IL 60611
Cook County (312) 202-8880
DR. ELIZABETH G. APOLONIO MD
Internal Medicine
211 E ONTARIO ST, NORTHWESTERN MEMORIAL HEALTH CARE BUILDING - SUITE 1200
CHICAGO, IL 60611
Cook County (312) 469-4860
ETHAN MICHAEL MEISEL M.D.
General Practice
211 E ONTARIO ST, SUITE 925
CHICAGO, IL 60611
Cook County (312) 573-0614
INSTANT CARE, LLC
Clinic/Center (Ambulatory Surgical)
211 E ONTARIO ST, SUITE 800
CHICAGO, IL 60611
Cook County (312) 787-8600
JOSHUA D ZIMMERMAN MD
Emergency Medicine
211 E ONTARIO ST, SUITE 200
CHICAGO, IL 60611
Cook County (312) 926-9512
NADIA PENA
Registered Nurse
211 E ONTARIO ST
CHICAGO, IL 60611
Cook County (312) 469-4863
LEONEL ANTONIO URDANETA JR. MD
Internal Medicine
211 E ONTARIO ST, 12TH FLOOR
CHICAGO, IL 60611
Cook County (312) 469-4905

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 Kumar Gandhi's NPI number?

The NPI number for Kumar Gandhi is 1306208517. It was assigned to this individual provider in the NPPES registry on March 26, 2016.

Where is Kumar Gandhi located?

Kumar Gandhi practices at 211 E Ontario St Suite 200, Chicago, IL 60611. The listed phone number is (312) 926-9512.

What is Kumar Gandhi's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Kumar Gandhi enrolled in Medicare?

Yes. Kumar 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 organization bills Medicare for Kumar Gandhi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kumar Gandhi reassigns Medicare benefits to Southern California Permanente Medical Group (Lancaster, CA). The 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 Kumar Gandhi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kumar Gandhi was last updated on November 29, 2021. 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.