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SULAKSHANA GANDHI MD
NPI 1669819744
Internal Medicine in South Orange, NJ

Active since May 29, 2013PECOS Enrolled
707 S ORANGE AVE, SOUTH ORANGE, NJ 07079(973) 675-9000 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 10, 2026, Oct 27, 2017 (2 updates tracked since 2017).

About Sulakshana Gandhi Md NPPES

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

SULAKSHANA GANDHI MD (NPI 1669819744) is an individual internal medicine provider in South Orange, New Jersey, licensed in New Jersey (25MA10044000) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1669819744
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSULAKSHANA GANDHICredential: MD
Location Address707 S ORANGE AVESouth Orange, NJ 07079-2698
Mailing Address707 S Orange AveSouth Orange, NJ 07079-2698 · (973) 675-9000
Phone(973) 675-9000
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateMay 29, 2013
Last NPPES UpdateJuly 10, 20262 updates tracked since enumeration
NPPES CertifiedJuly 10, 2026
✔ NPI 1669819744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA10044000
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.
707 S ORANGE AVE, South Orange, NJ 07079
Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sulakshana Gandhi Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1153643135
PECOS Enrollment IDI20171129002302
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 Reassignment

Medicare enrollment records show Sulakshana Gandhi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Essex Medical Care LLC
Same address
Internal Medicine
707 S ORANGE AVE
South Orange, NJ 07079
  • Reassigned Medicare billing, New Jersey enrollment
  • 3 clinicians in this Medicare group
NPI 1093698946 (973) 675-9000

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 4

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 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.
61 services34 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.
29 services23 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
19 services19 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07079 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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 10

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

ESSEX MEDICAL CARE LLC
Internal Medicine
707 S ORANGE AVE
SOUTH ORANGE, NJ 07079
Essex County (973) 675-9000
JASMINE JOSEPH PA-C
Physician Assistant
707 S ORANGE AVE
SOUTH ORANGE, NJ 07079
Essex County (973) 761-6111
DINESH R PATEL MD
Internal Medicine
707 S ORANGE AVE
SOUTH ORANGE, NJ 07079
Essex County (973) 675-9000
CLINTON MEDICAL ASSOCIATES PA
Internal Medicine
707 S ORANGE AVE
SOUTH ORANGE, NJ 07079
Essex County (973) 761-6111
ALFRED THUNTY SAMURA MD
Internal Medicine (Cardiovascular Disease)
707 S ORANGE AVE
SOUTH ORANGE, NJ 07079
Essex County (932) 761-1140
SATISH MEHTA M.D., P.A.
Internal Medicine (Pulmonary Disease)
707 S ORANGE AVE
SO ORANGE, NJ 07079
Essex County (973) 762-4746
KEMOY FONG
Nurse Practitioner (Acute Care)
707 S ORANGE AVE
SOUTH ORANGE, NJ 07079
Essex County (973) 761-6111
CHAMPAKLAL K GANDHI M.D.
Internal Medicine (Nephrology)
707 S ORANGE AVE
SOUTH ORANGE, NJ 07079
Essex County (973) 762-4720

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 Sulakshana Gandhi's NPI number?

The NPI number for Sulakshana Gandhi is 1669819744. It was assigned to this individual provider in the NPPES registry on May 29, 2013.

Where is Sulakshana Gandhi located?

Sulakshana Gandhi practices at 707 S Orange Ave, South Orange, NJ 07079. The listed phone number is (973) 675-9000.

What is Sulakshana Gandhi's specialty?

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

Is Sulakshana Gandhi enrolled in Medicare?

Yes. Sulakshana Gandhi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sulakshana Gandhi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sulakshana Gandhi reassigns Medicare benefits to Essex Medical Care LLC (South Orange, NJ). The 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 Sulakshana Gandhi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sulakshana Gandhi accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Sulakshana 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 Sulakshana Gandhi was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.