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DR. SEEMA R GANDHI MD
NPI 1710154240
Internal Medicine - Gastroenterology in Chicago, IL

Active since May 14, 2008PECOS EnrolledAccepts Medicare Assignment
84.57/100
CMS Quality Rating
1725 W HARRISON ST, SUITE 207, CHICAGO, IL 60612(312) 942-5861(312) 563-3945 Get Directions Write a Review

NPPES record last updated: April 23, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Seema R Gandhi Md NPPES

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

DR. SEEMA R GANDHI MD (NPI 1710154240) is an individual gastroenterology provider in Chicago, Illinois, licensed in Illinois (036123665) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS, is affiliated with John H Stroger Jr Hospital, and is a graduate of Chicago College Of Medicine And Surgery (2006).

NPPES Registry Identity

NPI1710154240
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameDR. SEEMA R GANDHICredential: MD
Location Address1725 W HARRISON ST, SUITE 207Chicago, IL 60612-3841
Mailing Address1725 W Harrison St, Suite 207Chicago, IL 60612-3841 · (312) 942-5861 · Fax (312) 563-3945
Phone(312) 942-5861
Fax(312) 563-3945
Sole ProprietorNo
Medical School CMSChicago College Of Medicine And SurgeryGraduated 2006
Enumeration DateMay 14, 2008
Last NPPES UpdateApril 23, 2021
NPPES CertifiedApril 23, 2021
✔ NPI 1710154240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in IL · 036123665
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 125051314 (IL)
1725 W HARRISON ST, Chicago, IL 60612
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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. Seema R 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 ID9931340999
PECOS Enrollment IDI20130802000477
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 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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
46 services14 patients
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.
25 services16 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.
20 services20 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.
16 services15 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.
15 services15 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

John H Stroger Jr Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number140124
Location1901 W Harrison StChicago, IL 60612 · Cook County
Emergency services Birthing friendly

Provident Hospital Of Chicago

Acute Care Hospitals · Chicago, IL
OwnershipGovernment - Local
CMS Certification Number140300
Location500 E 51st StChicago, IL 60615 · Cook County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

84.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.25
Promoting Interoperability100
Improvement Activities40
Cost67

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.

DR. MARTA BATUS MD
Internal Medicine (Medical Oncology)
1725 W HARRISON ST, SUITE 809
CHICAGO, IL 60612
Cook County (312) 563-2487
KM WILLIAMS MD SC
Clinic/Center (Ophthalmologic Surgery)
1725 W HARRISON ST, STE 910
CHICAGO, IL 60612
Cook County (312) 622-7320
KENNETH M BOYER M.D.
Pediatrics (Pediatric Infectious Diseases)
1725 W HARRISON ST, SUITE 710
CHICAGO, IL 60612
Cook County (312) 942-3034
RUSH UNIVERSITY MEDICAL CENTER
Internal Medicine (Hematology)
1725 W HARRISON ST, SUITE 1010
CHICAGO, IL 60612
Cook County (312) 942-5904
DAVID ANSELL M.D.
Internal Medicine
1725 W HARRISON ST, SUITE 263
CHICAGO, IL 60612
Cook County (312) 942-6700
MIDWEST NEUROPSYCHIATRIC ASSOC LTD
Specialist
1725 W HARRISON ST, SUITE 744
CHICAGO, IL 60612
Cook County (312) 942-0118
JANICE DIESCHBOURG M.D.
Radiology (Diagnostic Radiology)
1725 W HARRISON ST, SUITE 155
CHICAGO, IL 60612
Cook County (312) 563-3269
AFFILIATED UROLOGISTS, LTD
Specialist
1725 W HARRISON ST, SUITE 762
CHICAGO, IL 60612
Cook County (312) 563-3447

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 Seema Gandhi's NPI number?

The NPI number for Seema Gandhi is 1710154240. It was assigned to this individual provider in the NPPES registry on May 14, 2008.

Where is Seema Gandhi located?

Seema Gandhi practices at 1725 W Harrison St Suite 207, Chicago, IL 60612. The listed phone number is (312) 942-5861.

What is Seema Gandhi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Seema Gandhi enrolled in Medicare?

Yes. Seema 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 Seema Gandhi accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Seema 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 Seema Gandhi affiliated with any hospitals?

According to CMS data, Seema Gandhi is affiliated with John H Stroger Jr Hospital and Provident Hospital Of Chicago.

When was this NPI record last updated?

The NPPES record for Seema Gandhi was last updated on April 23, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.