KHUSHBOO M GANDHI M.D.
NPI 1568845519
Internal Medicine - Critical Care Medicine in Green Bay, WI

Active since July 08, 2015PECOS EnrolledAccepts Medicare Assignment
2845 GREENBRIER RD, GREEN BAY, WI 54311(920) 288-8000 Get Directions Write a Review

NPPES record last updated: November 19, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 19, 2021, Jun 16, 2020 (2 updates tracked since 2020).

About Khushboo M Gandhi M.d. NPPES

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

KHUSHBOO M GANDHI M.D. (NPI 1568845519) is an individual critical care medicine provider in Green Bay, Wisconsin, licensed in Wisconsin (72491) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, is affiliated with Aurora Medical Ctr Manitowoc County, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1568845519
Entity TypeIndividualFemale
Primary Taxonomy207RC0200X
Provider Legal NameKHUSHBOO M GANDHICredential: M.D.
Location Address2845 GREENBRIER RDGreen Bay, WI 54311-6519
Mailing Address3301 W Forest Home AveMilwaukee, WI 53215-2843 · (414) 389-2233
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 8, 2015
Last NPPES UpdateNovember 19, 20212 updates tracked since enumeration
NPPES CertifiedNovember 19, 2021
✔ NPI 1568845519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in WI · 72491
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2015013975 (MO)
2845 GREENBRIER RD, Green Bay, WI 54311

Other Identifiers 1

Medicaid10009989WI

Accepted 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

Khushboo 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 ID2961704796
PECOS Enrollment IDI20200618001929
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

2

Medicare enrollment records show Khushboo Gandhi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
2845 GREENBRIER RD
Green Bay, WI 54311
  • Reassigned Medicare billing, Wisconsin enrollment
  • 394 clinicians in this Medicare group
Clinic/Center
2414 KOHLER MEMORIAL DR
Sheboygan, WI 53081
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group

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 2

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
170 services94 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
39 services33 patients

Hospital Affiliations CMS Care Compare 5

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

Aurora Medical Ctr Manitowoc County

Acute Care Hospitals · Two Rivers, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number520034
Location5000 Memorial DriveTwo Rivers, WI 54241 · Manitowoc County
Emergency services Birthing friendly

Bay Area Medical Center

Acute Care Hospitals · Marinette, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520113
Location3003 University DrMarinette, WI 54143 · Marinette County
Emergency services Birthing friendly

Aurora Medical Center Kenosha

Acute Care Hospitals · Kenosha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520189
Location10400 75th StKenosha, WI 53142 · Kenosha County
Emergency services Birthing friendly

Aurora Baycare Medical Ctr

Acute Care Hospitals · Green Bay, WI
5/5 CMS rating
OwnershipProprietary
CMS Certification Number520193
Location2845 Greenbrier RdGreen Bay, WI 54311 · Brown County
Emergency services Birthing friendly

Aurora Medical Ctr Oshkosh

Acute Care Hospitals · Oshkosh, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520198
Location855 N Westhaven DriveOshkosh, WI 54904 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54311 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Internal Medicine (Hematology & Oncology)
2845 GREENBRIER RD
GREEN BAY, WI 54311
Genetic Counselor, MS
2845 GREENBRIER RD
GREEN BAY, WI 54311
Neurological Surgery
2845 GREENBRIER RD
GREEN BAY, WI 54311
Physical Therapist
2845 GREENBRIER RD
GREEN BAY, WI 54311
Emergency Medicine
2845 GREENBRIER RD
GREEN BAY, WI 54311
Hospitalist
2845 GREENBRIER RD
GREEN BAY, WI 54311
Emergency Medicine
2845 GREENBRIER RD
GREEN BAY, WI 54311
Nurse Anesthetist, Certified Registered
2845 GREENBRIER RD
GREEN BAY, WI 54311

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 Khushboo Gandhi's NPI number?

The NPI number for Khushboo Gandhi is 1568845519. It was assigned to this individual provider in the NPPES registry on July 8, 2015.

Where is Khushboo Gandhi located?

Khushboo Gandhi practices at 2845 Greenbrier Rd, Green Bay, WI 54311. The listed phone number is (920) 288-8000.

What is Khushboo Gandhi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Khushboo Gandhi enrolled in Medicare?

Yes. Khushboo 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 Khushboo Gandhi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Khushboo Gandhi reassigns Medicare benefits to 2 organizations: Baycare Aurora, LLC (Green Bay, WI) and Aurora Medical Group, Inc. (Sheboygan, WI). 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 Khushboo Gandhi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Khushboo Gandhi accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan and CareSource (Common Ground Healthcare) list Khushboo 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 Khushboo Gandhi affiliated with any hospitals?

According to CMS data, Khushboo Gandhi is affiliated with Aurora Medical Ctr Manitowoc County, Bay Area Medical Center, Aurora Medical Center Kenosha, Aurora Baycare Medical Ctr and Aurora Medical Ctr Oshkosh.

When was this NPI record last updated?

The NPPES record for Khushboo Gandhi was last updated on November 19, 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.