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RITESH GANDHI MD
NPI 1396109880
Hospitalist in Saint Louis, MO

Active since April 11, 2016PECOS EnrolledAccepts Medicare Assignment
3015 N BALLAS RD, SAINT LOUIS, MO 63131(314) 996-5772(314) 996-7691 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 4, 2025, Aug 2, 2019 (2 updates tracked since 2019).

About Ritesh Gandhi Md NPPES

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

RITESH GANDHI MD (NPI 1396109880) is an individual hospitalist provider in Saint Louis, Missouri, licensed in Missouri (20190090407) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1396109880
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameRITESH GANDHICredential: MD
Location Address3015 N BALLAS RDSaint Louis, MO 63131-2329
Mailing AddressPo Box 959354Saint Louis, MO 63195-9354 · (314) 996-5772 · Fax (314) 996-7691
Phone(314) 996-5772
Fax(314) 996-7691
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 11, 2016
Last NPPES UpdateSeptember 4, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2025
✔ NPI 1396109880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses✔ Licensed in MO · 20190090407✔ Licensed in IL · 036175509
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 2019009047 (MO)
3015 N BALLAS RD, Saint Louis, MO 63131
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Ritesh 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.

PECOS PAC ID9931493426
PECOS Enrollment IDI20190814000162, I20251016004467
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 4

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
278 services258 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
119 services115 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
50 services50 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
35 services35 patients

Hospital Affiliations CMS Care Compare 4

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

Memorial Hospital

Acute Care Hospitals · Belleville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140185
Location4500 Memorial DriveBelleville, IL 62226 · St. Clair County
Emergency services Birthing friendly

Ssm St Clare Health Center

Acute Care Hospitals · Fenton, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260081
Location1015 BowlesFenton, MO 63026 · Jefferson County
Emergency services Birthing friendly

Missouri Baptist Medical Center

Acute Care Hospitals · Town And Country, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260108
Location3015 N Ballas RdTown And Country, MO 63131 · St. Louis County
Emergency services Birthing friendly

Parkland Health Center

Acute Care Hospitals · Farmington, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260163
Location1101 W LibertyFarmington, MO 63640 · St. Francois County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63131 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers23 claims71 services$5.20 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers17 claims33 services$0.82 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
1 supplier11 claims310 services$8.48 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MS. ASHLEY FRANCES MARIE PIKE FNP
Nurse Practitioner (Family)
3015 N BALLAS RD, DEPT EMERGENCY MED
SAINT LOUIS, MO 63131
St. Louis County (314) 966-5000
PAUL S PATANE M.D.
Anesthesiology
3015 N BALLAS RD
SAINT LOUIS, MO 63131
St. Louis County (314) 996-5330
MR. BLAIR ANTHONY MALENCH PA
Physician Assistant
3015 N BALLAS RD
SAINT LOUIS, MO 63131
St. Louis County (314) 996-5225
ADNAN MANZOOR MD
Hospitalist
3015 N BALLAS RD
SAINT LOUIS, MO 63131
St. Louis County (314) 996-5772
LAUREN MARIE HECHT RD, LD
Dietitian, Registered
3015 N BALLAS RD
SAINT LOUIS, MO 63131
St. Louis County (573) 579-6375
DR. ALAN P LYSS MD
Internal Medicine (Hematology & Oncology)
3015 N BALLAS RD
SAINT LOUIS, MO 63131
St. Louis County (314) 996-5514
VIRGILIO P DUMADAG MD
Pathology (Anatomic Pathology & Clinical Pathology)
3015 N BALLAS RD, DEPARTMENT OF PATHOLOGY
SAINT LOUIS, MO 63131
St. Louis County (314) 996-4285
STEPHEN R DAVIS M.D.
Anesthesiology
3015 N BALLAS RD
SAINT LOUIS, MO 63131
St. Louis County (314) 996-5330

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 Ritesh Gandhi's NPI number?

The NPI number for Ritesh Gandhi is 1396109880. It was assigned to this individual provider in the NPPES registry on April 11, 2016.

Where is Ritesh Gandhi located?

Ritesh Gandhi practices at 3015 N Ballas Rd, Saint Louis, MO 63131. The listed phone number is (314) 996-5772.

What is Ritesh Gandhi's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Ritesh Gandhi enrolled in Medicare?

Yes. Ritesh 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.

What insurance does Ritesh Gandhi accept?

Health plans from Anthem Blue Cross and Blue Shield list Ritesh 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 Ritesh Gandhi affiliated with any hospitals?

According to CMS data, Ritesh Gandhi is affiliated with Memorial Hospital, Ssm St Clare Health Center, Missouri Baptist Medical Center and Parkland Health Center.

When was this NPI record last updated?

The NPPES record for Ritesh Gandhi was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.