HIRALBEN B GANDHI FNP
NPI 1710423710
Nurse Practitioner - Family in Saint Louis, MO

Active since January 13, 2017PECOS EnrolledAccepts Medicare Assignment
3844 S LINDBERGH BLVD STE 120, SAINT LOUIS, MO 63127(314) 525-0490 Get Directions Write a Review

NPPES record last updated: February 11, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 11, 2021, Jan 6, 2021, Jan 13, 2017 (3 updates tracked since 2017).

About Hiralben B Gandhi Fnp NPPES

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

HIRALBEN B GANDHI FNP (NPI 1710423710) is an individual family provider in Saint Louis, Missouri, licensed in Missouri (2020028165) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Schaumburg, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1710423710
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHIRALBEN B GANDHICredential: FNP
Location Address3844 S LINDBERGH BLVD STE 120Saint Louis, MO 63127-1369
Mailing Address3844 S Lindbergh Blvd Ste 120Saint Louis, MO 63127-1369 · (314) 525-0490
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 13, 2017
Last NPPES UpdateFebruary 11, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2021
✔ NPI 1710423710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in MO · 2020028165✔ Licensed in IL · 209.015422
3844 S LINDBERGH BLVD STE 120, Saint Louis, MO 63127

Secondary Practice Location 1

Location 1830 Carnaby CtSchaumburg, IL 60194-2205 · Phone (847) 987-5573

Accepted 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

Hiralben B Gandhi Fnp 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 ID1658654579
PECOS Enrollment IDI20210108000807
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

3

Medicare enrollment records show Hiralben Gandhi reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
670 MASON RIDGE CENTER DR STE 300
Saint Louis, MO 63141
  • Reassigned Medicare billing, Missouri enrollment
  • 611 clinicians in this Medicare group
Nurse Practitioner
1333 BURR RIDGE PKWY STE 200
Burr Ridge, IL 60527
  • Reassigned Medicare billing, Illinois enrollment
  • 183 clinicians in this Medicare group
Internal Medicine
2500 S HIGHLAND AVE, SUITE 230
Lombard, IL 60148
  • Reassigned Medicare billing, Illinois enrollment
  • 8 clinicians in this Medicare group

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 8

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.
277 services210 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.
38 services38 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.
25 services23 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
18 services17 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.
16 services15 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63127 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

Internal Medicine
3844 S LINDBERGH BLVD STE 120
SAINT LOUIS, MO 63127
Internal Medicine
3844 S LINDBERGH BLVD STE 120
SAINT LOUIS, MO 63127
Internal Medicine
3844 S LINDBERGH BLVD STE 120
SAINT LOUIS, MO 63127
Internal Medicine
3844 S LINDBERGH BLVD STE 120
SAINT LOUIS, MO 63127
Internal Medicine
3844 S LINDBERGH BLVD STE 120
SAINT LOUIS, MO 63127
Internal Medicine
3844 S LINDBERGH BLVD STE 120
SAINT LOUIS, MO 63127
Internal Medicine (Geriatric Medicine)
3844 S LINDBERGH BLVD STE 120
SAINT LOUIS, MO 63127
Family Medicine
3844 S LINDBERGH BLVD STE 120
SAINT LOUIS, MO 63127

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 Hiralben Gandhi's NPI number?

The NPI number for Hiralben Gandhi is 1710423710. It was assigned to this individual provider in the NPPES registry on January 13, 2017.

Where is Hiralben Gandhi located?

Hiralben Gandhi practices at 3844 S Lindbergh Blvd Ste 120, Saint Louis, MO 63127. The listed phone number is (314) 525-0490.

What is Hiralben Gandhi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Hiralben Gandhi enrolled in Medicare?

Yes. Hiralben 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.

Which organizations bill Medicare for Hiralben Gandhi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hiralben Gandhi reassigns Medicare benefits to 3 organizations: Physician Groups Lc (Saint Louis, MO), Paragon Clinical LLC (Burr Ridge, IL) and Primary Care Services (Lombard, IL). Each 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 Hiralben Gandhi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hiralben Gandhi accept?

Health plans from UnitedHealthcare list Hiralben 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 Hiralben Gandhi was last updated on February 11, 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.