DR. NIEL K GANDHI MD
NPI 1619230034
Family Medicine in Aurora, IL

Q: What is Niel Gandhi's NPI number?

The NPI number for Niel Gandhi is 1619230034. It was assigned to this individual provider in the NPPES registry on June 20, 2012.

Q: What is Niel Gandhi's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Niel Gandhi was last updated on May 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 20, 2012PECOS EnrolledAccepts Medicare Assignment

1901 W GALENA BLVD, AURORA, IL 60506(630) 692-5960(630) 692-5961 Get Directions Write a Review

NPPES record last updated: May 30, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 30, 2023, Jan 13, 2021, Jun 12, 2018 and 1 more (4 updates tracked since 2016).

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About Dr. Niel K Gandhi Md NPPES

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

DR. NIEL K GANDHI MD (NPI 1619230034) is an individual family medicine provider in Aurora, Illinois, licensed in Illinois (036163512) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1619230034

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. NIEL K GANDHICredential: MD

Location Address1901 W GALENA BLVDAurora, IL 60506-4305

Mailing Address1901 W Galena BlvdAurora, IL 60506-4305 · (630) 692-5960 · Fax (630) 692-5961

Phone(630) 692-5960

Fax(630) 692-5961

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateJune 20, 2012

Last NPPES UpdateMay 30, 20234 updates tracked since enumeration

NPPES CertifiedMay 30, 2023

✔ NPI 1619230034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 036163512

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1901 W GALENA BLVD, Aurora, IL 60506

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Dr. Niel K 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 ID446479802

PECOS Enrollment IDI20230327000275

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

Medicare enrollment records show Niel Gandhi reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rush-Copley Medical Group

5.3 mi

Gastroenterology

1256 WATERFORD DR, SUITE 120
Aurora, IL 60504

Reassigned Medicare billing, Illinois enrollment
Medicare enrollment name: Rush-Copley Medical Group Nfp
171 clinicians in this Medicare group

NPI 1477831220 (630) 820-4040

Rush University Medical Center

23 mi

Internal Medicine

2011 YORK ROAD, 2ND FLOOR
Oak Brook, IL 60523

Reassigned Medicare billing, Illinois enrollment
Medicare enrollment name: Rush University Medical Group
2,169 clinicians in this Medicare group

NPI 1801375696 (630) 724-1310

Rush Medical Group

37 mi

Internal Medicine

1620 W HARRISON ST
Chicago, IL 60612

Reassigned Medicare billing, Illinois enrollment
548 clinicians in this Medicare group

NPI 1467312850 (312) 942-5000

Thundermist Health Center

868 mi

Federally Qualified Health Center (FQHC)

450 CLINTON ST
Woonsocket, RI 02895

Reassigned Medicare billing, Rhode Island enrollment
288 clinicians in this Medicare group

NPI 1588691620 (401) 767-4100

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 6

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.

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.

102 services95 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

64 services61 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

25 services22 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

11 services11 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

11 services11 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.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60506 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

$93.02 typical visit price

range $59.81 – $181.38

Typical copayment $23.25 (range $14.95 – $45.34)

Most-billed visit code 99203

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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers12 claims28 services$5.73 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 6

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

EVAN C ALLING

Nurse Practitioner (Family)