DR. ALOK GAMBHIR M.D.
NPI 1326208554
Internal Medicine - Clinical Cardiac Electrophysiology in Gainesville, GA

Active since June 11, 2008PECOS EnrolledAccepts Medicare Assignment
68.55/100
CMS Quality Rating
200 S ENOTA DR NE STE 480, GAINESVILLE, GA 30501(770) 534-2020(770) 534-8025 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 7, 2020, Apr 15, 2020 (2 updates tracked since 2020).

About Dr. Alok Gambhir M.d. NPPES

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

DR. ALOK GAMBHIR M.D. (NPI 1326208554) is an individual clinical cardiac electrophysiology provider in Gainesville, Georgia, licensed in Georgia (072669) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1326208554
Entity TypeIndividualMale
Primary Taxonomy207RC0001X
Provider Legal NameDR. ALOK GAMBHIRCredential: M.D.
Location Address200 S ENOTA DR NE STE 480Gainesville, GA 30501-3473
Mailing AddressPo Box 742616Atlanta, GA 30374-2616 · (770) 219-8420
Fax(770) 534-8025
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJune 11, 2008
Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration
NPPES CertifiedOctober 7, 2020
NPI 1326208554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RC0001X
License Licensed in GA · 072669
Definition
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
200 S ENOTA DR NE STE 480, Gainesville, GA 30501

Accepted 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

Dr. Alok Gambhir 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 ID345461521
PECOS Enrollment IDI20141103000626
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.

Areas of Expertise CMS Part B claims 28

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
1,103 services619 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296
This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.
715 services316 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294
This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.
577 services245 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
424 services312 patients
Evaluation of cardiac rhythm monitor system, remote up to 30 days 93298
This procedure involves remotely monitoring your heart rhythm for up to 30 days. A small device will record your heart's activity, which can be accessed by your healthcare team. This aids in diagnosing any irregularities or issues with your heart function.
326 services78 patients
Programming of dual lead pacemaker system 93280
Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.
245 services182 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Northside Hospital Cherokee

Acute Care Hospitals · Canton, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110008
Location450 Northside Cherokee BoulevardCanton, GA 30115 · Cherokee County
Emergency services Birthing friendly

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110087
Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County
Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30501 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

68.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.15
Promoting Interoperability76
Improvement Activities40
Cost52.03

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Clinical Cardiac Electrophysiology)
200 S ENOTA DR NE STE 480
GAINESVILLE, GA 30501
Internal Medicine (Clinical Cardiac Electrophysiology)
200 S ENOTA DR NE STE 480
GAINESVILLE, GA 30501
Physician Assistant
200 S ENOTA DR NE STE 480
GAINESVILLE, GA 30501
Internal Medicine (Clinical Cardiac Electrophysiology)
200 S ENOTA DR NE STE 480
GAINESVILLE, GA 30501
Nurse Practitioner (Gerontology)
200 S ENOTA DR NE STE 480
GAINESVILLE, GA 30501
Internal Medicine (Clinical Cardiac Electrophysiology)
200 S ENOTA DR NE STE 480
GAINESVILLE, GA 30501
Physician Assistant (Medical)
200 S ENOTA DR NE STE 480
GAINESVILLE, GA 30501
Nurse Practitioner (Family)
200 S ENOTA DR NE STE 480
GAINESVILLE, GA 30501

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 Alok Gambhir's NPI number?

The NPI number for Alok Gambhir is 1326208554. It was assigned to this individual provider in the NPPES registry on June 11, 2008.

Where is Alok Gambhir located?

Alok Gambhir practices at 200 S Enota Dr NE Ste 480, Gainesville, GA 30501. The listed phone number is (770) 534-2020.

What is Alok Gambhir's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Is Alok Gambhir enrolled in Medicare?

Yes. Alok Gambhir 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 Alok Gambhir accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Alok Gambhir 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 Alok Gambhir affiliated with any hospitals?

According to CMS data, Alok Gambhir is affiliated with Northside Hospital Forsyth, Northside Hospital Cherokee, Northside Hospital Gwinnett and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Alok Gambhir was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.