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DINESH R GANDHI MD
NPI 1568443273
Internal Medicine in Atlanta, GA

Active since November 09, 2005PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
236 FORSYTH ST SW, ATLANTA, GA 30303(404) 521-2410(877) 411-0199 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 25, 2024, Apr 10, 2024, Oct 8, 2019 (3 updates tracked since 2019).

About Dinesh R Gandhi Md NPPES

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

DINESH R GANDHI MD (NPI 1568443273) is an individual internal medicine provider in Atlanta, Georgia, licensed in Georgia (74119) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Tucker, and is a graduate of Other (1970).

NPPES Registry Identity

NPI1568443273
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDINESH R GANDHICredential: MD
Location Address236 FORSYTH ST SWAtlanta, GA 30303-3786
Mailing Address50 Marquis RdFreeport, ME 04032-6477 · (207) 865-6131 · Fax (207) 865-9399
Phone(404) 521-2410
Fax(877) 411-0199
Sole ProprietorNo
Medical School CMSOtherGraduated 1970
Enumeration DateNovember 9, 2005
Last NPPES UpdateJune 25, 20243 updates tracked since enumeration
NPPES CertifiedJune 25, 2024
✔ NPI 1568443273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in GA · 74119✔ Licensed in AL · 00007119✔ Licensed in ME · EL191035
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
236 FORSYTH ST SW, Atlanta, GA 30303
Open in Google Maps ↗

Secondary Practice Location 1

Location 14936 Presidents Way Ste 203Tucker, GA 30084-3038 · Phone (678) 395-7164 · Fax (866) 811-0453

Other Identifiers 1

Other51528853AL · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

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

Dinesh R 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 ID1850294364
PECOS Enrollment IDI20200320001511
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 Reassignments

7

Medicare enrollment records show Dinesh Gandhi reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lifeline Medical Center, LLC
16 mi
Primary Care
3330 PEACHTREE CORNERS CIR
Norcross, GA 30092
  • Reassigned Medicare billing, Georgia enrollment
  • 6 clinicians in this Medicare group
NPI 1245658285 (678) 580-0950
Lifeline Primary Care, Inc
19 mi
Primary Care
4025 LAWRENCEVILLE HWY NW STE A
Lilburn, GA 30047
  • Reassigned Medicare billing, Georgia enrollment
  • 8 clinicians in this Medicare group
NPI 1639426984 (770) 559-3501
Shivdharaa LLC
20 mi
Primary Care
3639 LAWRENCEVILLE HWY # 7
Lawrenceville, GA 30044
  • Reassigned Medicare billing, Georgia enrollment
  • 2 clinicians in this Medicare group
NPI 1619688660 (404) 940-2033
Welgen One Of Georgia LLC
24 mi
General Practice
5415 SUGARLOAF PKWY STE 1108
Lawrenceville, GA 30043
  • Reassigned Medicare billing, Georgia enrollment
  • 2 clinicians in this Medicare group
NPI 1023746732 (833) 935-4361
Wellstreet Of Georgia PC
30 mi
Urgent Care
1825 HIGHWAY 34 E STE 1200
Newnan, GA 30265
  • Reassigned Medicare billing, Georgia enrollment
  • 380 clinicians in this Medicare group
NPI 1235411547 (770) 502-2121
American Family Care, LLC
82 mi
Primary Care
30 HOLMES DR
Oxford, AL 36203
  • Reassigned Medicare billing, Alabama enrollment
  • 660 clinicians in this Medicare group
NPI 1700326022 (256) 403-3534
Ctd Network LLC
419 mi
Multi-Specialty
1805 JAMES L REDMAN PKWY STE 201
Plant City, FL 33563
  • Reassigned Medicare billing, Alabama, Florida and Georgia enrollments
  • 7 clinicians in this Medicare group
NPI 1851039762 (813) 807-3338

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 7

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.

Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
28 services13 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.
23 services23 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
20 services20 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
19 services19 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.
17 services15 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.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30303 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.78
Promoting Interoperability100
Improvement Activities40

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 Dinesh Gandhi's NPI number?

The NPI number for Dinesh Gandhi is 1568443273. It was assigned to this individual provider in the NPPES registry on November 9, 2005.

Where is Dinesh Gandhi located?

Dinesh Gandhi practices at 236 Forsyth St SW, Atlanta, GA 30303. The listed phone number is (404) 521-2410.

What is Dinesh Gandhi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Dinesh Gandhi enrolled in Medicare?

Yes. Dinesh 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 organizations bill Medicare for Dinesh Gandhi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dinesh Gandhi reassigns Medicare benefits to 7 organizations: Lifeline Medical Center, LLC (Norcross, GA), Lifeline Primary Care, Inc (Lilburn, GA), Shivdharaa LLC (Lawrenceville, GA), Welgen One Of Georgia LLC (Lawrenceville, GA), Wellstreet Of Georgia PC (Newnan, GA) and 2 more organizations, listed in the Medicare section above. Each 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 Dinesh Gandhi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dinesh Gandhi accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Dinesh 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.

When was this NPI record last updated?

The NPPES record for Dinesh Gandhi was last updated on June 25, 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.