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SAGAR GANDHI MD
NPI 1588026637
Hospitalist in Geneva, IL

Active since March 27, 2016PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
300 RANDALL RD, GENEVA, IL 60134(630) 933-4700(630) 933-4427 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 4, 2026, Mar 27, 2016 (2 updates tracked since 2016).

About Sagar Gandhi Md NPPES

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

SAGAR GANDHI MD (NPI 1588026637) is an individual hospitalist provider in Geneva, Illinois, licensed in Illinois (036163655) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Delnor Community Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1588026637
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameSAGAR GANDHICredential: MD
Location Address300 RANDALL RDGeneva, IL 60134-4200
Mailing Address300 Randall RdGeneva, IL 60134-4200 · (630) 933-4700 · Fax (630) 933-4427
Phone(630) 933-4700
Fax(630) 933-4427
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 27, 2016
Last NPPES UpdateJune 12, 20262 updates tracked since enumeration
NPPES CertifiedJune 12, 2026
✔ NPI 1588026637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in IL · 036163655
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.
300 RANDALL RD, Geneva, IL 60134
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.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

Sagar 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 ID4082901772
PECOS Enrollment IDI20231127000164
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 5

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.

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.
138 services75 patients
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.
133 services132 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.
109 services107 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.
50 services31 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
45 services44 patients

Hospital Affiliations CMS Care Compare 2

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

Northwestern Medicine Delnor Community Hospital

Acute Care Hospitals · Geneva, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140211
Location300 Randall RdGeneva, IL 60134 · Kane County
Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60134 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers16 claims16 services$88.04 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.

MEGEN ALYSON TOWNSEND PA-C
Physician Assistant
300 RANDALL RD
GENEVA, IL 60134
Kane County (630) 208-4015
DR. NICHOLAS PATRICK SLATTERY MD
Emergency Medicine
300 RANDALL RD
GENEVA, IL 60134
Kane County (630) 208-3000
SHARI ANNE SCHRADER APRNBC
Nurse Practitioner (Adult Health)
300 RANDALL RD, WOUND CENTER
GENEVA, IL 60134
Kane County (630) 208-4460
DR. AMANDA K. CORUM MD
Hospitalist
300 RANDALL RD
GENEVA, IL 60134
Kane County (630) 933-4700
AMY LYNN ARROCENA
Physical Therapist
300 RANDALL RD
GENEVA, IL 60134
Kane County (630) 208-3000
MS. JACLYNN M DENARDO CRNA
Nurse Anesthetist, Certified Registered
300 RANDALL RD
GENEVA, IL 60134
Kane County (630) 208-4060
BRUCE V DORSEY MD
Pathology (Anatomic Pathology & Clinical Pathology)
300 RANDALL RD
GENEVA, IL 60134
Kane County (630) 208-4368
HARSH BIPIN PATEL
Hospitalist
300 RANDALL RD
GENEVA, IL 60134
Kane County (630) 933-4700

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 Sagar Gandhi's NPI number?

The NPI number for Sagar Gandhi is 1588026637. It was assigned to this individual provider in the NPPES registry on March 27, 2016.

Where is Sagar Gandhi located?

Sagar Gandhi practices at 300 Randall Rd, Geneva, IL 60134. The listed phone number is (630) 933-4700.

What is Sagar Gandhi's specialty?

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

Is Sagar Gandhi enrolled in Medicare?

Yes. Sagar 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 Sagar Gandhi accept?

Health plans from CareSource and MedMutual list Sagar 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 Sagar Gandhi affiliated with any hospitals?

According to CMS data, Sagar Gandhi is affiliated with Northwestern Medicine Delnor Community Hospital and Northwestern Medicine Central Dupage Hospital.

When was this NPI record last updated?

The NPPES record for Sagar Gandhi was last updated on June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.