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DR. SAUMIL M GANDHI M.D.
NPI 1427057843
Internal Medicine - Nephrology in Santa Paula, CA

Active since July 18, 2005PECOS EnrolledAccepts Medicare Assignment
87.18/100
CMS Quality Rating
253 MARCH ST, SANTA PAULA, CA 93060(805) 525-4650(805) 648-6572 Get Directions Write a Review

NPPES record last updated: May 3, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Saumil M Gandhi M.d. NPPES

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

DR. SAUMIL M GANDHI M.D. (NPI 1427057843) is an individual nephrology provider in Santa Paula, California, licensed in California (A54272) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1427057843
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. SAUMIL M GANDHICredential: M.D.
Location Address253 MARCH STSanta Paula, CA 93060-2511
Mailing Address4030 Tradewinds DrOxnard, CA 93035-1253 · (805) 525-4650 · Fax (805) 648-6572
Phone(805) 525-4650
Fax(805) 648-6572
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateJuly 18, 2005
Last NPPES UpdateMay 3, 2024
NPPES CertifiedMay 3, 2024
✔ NPI 1427057843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in CA · A54272
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
253 MARCH ST, Santa Paula, CA 93060
Open in Google Maps ↗

Other Identifiers 1

Medicaid00A542720CA

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. Saumil M 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 ID9537199856
PECOS Enrollment IDI20050816001315
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 11

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.

Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
302 services53 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
176 services91 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
173 services54 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
150 services76 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
62 services48 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.
47 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93060 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
$140.72 typical visit price
range $62.32 – $185.36
Typical copayment $35.18 (range $15.58 – $46.34)
Most-billed visit code 99204
Established Patient
$108.74 typical visit price
range $20.68 – $151.85
Typical copayment $27.18 (range $5.17 – $37.96)
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.

87.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.09
Promoting Interoperability100
Improvement Activities40
Cost56.53

Other Providers at the Same Location NPPES 2

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

TOTAL RENAL CARE INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
253 MARCH ST
SANTA PAULA, CA 93060
Ventura County (805) 525-3977
KIDNEY CENTER OF SANTA PAULA
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
253 MARCH ST
SANTA PAULA, CA 93060
Ventura County (805) 525-3977

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 Saumil Gandhi's NPI number?

The NPI number for Saumil Gandhi is 1427057843. It was assigned to this individual provider in the NPPES registry on July 18, 2005.

Where is Saumil Gandhi located?

Saumil Gandhi practices at 253 March St, Santa Paula, CA 93060. The listed phone number is (805) 525-4650.

What is Saumil Gandhi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Saumil Gandhi enrolled in Medicare?

Yes. Saumil 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.

When was this NPI record last updated?

The NPPES record for Saumil Gandhi was last updated on May 3, 2024. 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.