DR. NISHA GANDHI M.D.
NPI 1700176989
Internal Medicine - Advanced Heart Failure and Transplant Cardiology in Langhorne, PA

Active since April 08, 2011PECOS EnrolledAccepts Medicare Assignment
1203 LANGHORNE NEWTOWN RD STE 320, LANGHORNE, PA 19047(215) 750-7818(215) 752-0436 Get Directions Write a Review

NPPES record last updated: May 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 14, 2021, Dec 17, 2018, Sep 25, 2018 (3 updates tracked since 2018).

About Dr. Nisha Gandhi M.d. NPPES

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

DR. NISHA GANDHI M.D. (NPI 1700176989) is an individual advanced heart failure and transplant cardiology provider in Langhorne, Pennsylvania, licensed in Pennsylvania (MD452474) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2011).

NPPES Registry Identity

NPI1700176989
Entity TypeIndividualFemale
Primary Taxonomy207RA0001X
Provider Legal NameDR. NISHA GANDHICredential: M.D.
Location Address1203 LANGHORNE NEWTOWN RD STE 320Langhorne, PA 19047-1235
Mailing Address41 University Dr Ste 300Newtown, PA 18940-1873 · (215) 710-7037 · Fax (215) 710-5181
Fax(215) 752-0436
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2011
Enumeration DateApril 8, 2011
Last NPPES UpdateMay 14, 20213 updates tracked since enumeration
NPPES CertifiedMay 14, 2021
NPI 1700176989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Advanced Heart Failure and Transplant CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RA0001X
License Licensed in PA · MD452474
Definition
Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License MD452474 (PA)
1203 LANGHORNE NEWTOWN RD STE 320, Langhorne, PA 19047

Accepted 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

Dr. Nisha 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 ID9931331261
PECOS Enrollment IDI20220509001918
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 12

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 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.
357 services77 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
321 services104 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
318 services98 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
124 services16 patients
Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458
This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.
53 services11 patients
Evaluation of lower heart chamber assist device 93750
An evaluation of a lower heart chamber assist device is a procedure to check the function of an implanted device aiding your heart's lower chambers. This helps ensure optimal heart function by monitoring the device's performance and your heart's response to it.
52 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19047 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 3

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
2 suppliers27 claims27 services$18.39 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
2 suppliers29 claims107 services$35.81 avg. paid by Medicare
Injection, milrinone lactate, 5 mg J2260
Treatment-Injections and Infusions (nononcologic) · category RI026N
2 suppliers32 claims3,121 services$1.31 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 7

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

Internal Medicine (Cardiovascular Disease)
1203 LANGHORNE NEWTOWN RD STE 320
LANGHORNE, PA 19047
Nurse Practitioner (Adult Health)
1203 LANGHORNE NEWTOWN RD STE 320
LANGHORNE, PA 19047
Internal Medicine (Interventional Cardiology)
1203 LANGHORNE NEWTOWN RD STE 320
LANGHORNE, PA 19047
Internal Medicine (Cardiovascular Disease)
1203 LANGHORNE NEWTOWN RD STE 320
LANGHORNE, PA 19047
Internal Medicine (Cardiovascular Disease)
1203 LANGHORNE NEWTOWN RD STE 320
LANGHORNE, PA 19047
Internal Medicine (Cardiovascular Disease)
1203 LANGHORNE NEWTOWN RD STE 320
LANGHORNE, PA 19047
Internal Medicine (Cardiovascular Disease)
1203 LANGHORNE NEWTOWN RD STE 320
LANGHORNE, PA 19047

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 Nisha Gandhi's NPI number?

The NPI number for Nisha Gandhi is 1700176989. It was assigned to this individual provider in the NPPES registry on April 8, 2011.

Where is Nisha Gandhi located?

Nisha Gandhi practices at 1203 Langhorne Newtown Rd Ste 320, Langhorne, PA 19047. The listed phone number is (215) 750-7818.

What is Nisha Gandhi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology, with taxonomy code 207RA0001X.

Is Nisha Gandhi enrolled in Medicare?

Yes. Nisha 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 Nisha Gandhi accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan list Nisha 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 Nisha Gandhi was last updated on May 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.