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PRIYAL HEMEN GANDHI
NPI 1730658410
Internal Medicine in Cleveland, OH

Active since November 25, 2018PECOS EnrolledAccepts Medicare Assignment
2500 METROHEALTH DR, CLEVELAND, OH 44109(216) 696-3876 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 10, 2024, Nov 25, 2018 (2 updates tracked since 2018).

About Priyal Hemen Gandhi NPPES

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

PRIYAL HEMEN GANDHI (NPI 1730658410) is an individual internal medicine provider in Cleveland, Ohio, licensed in Ohio (35.151078) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS, is affiliated with Metrohealth System, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1730658410
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NamePRIYAL HEMEN GANDHI
Location Address2500 METROHEALTH DRCleveland, OH 44109-1900
Mailing Address2500 Metrohealth DrCleveland, OH 44109-1900
Phone(216) 696-3876
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 25, 2018
Last NPPES UpdateSeptember 10, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2024
✔ NPI 1730658410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35.151078
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.
2500 METROHEALTH DR, Cleveland, OH 44109
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Priyal Hemen Gandhi 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 ID8426458142
PECOS Enrollment IDI20241002000225
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.

Hospital Affiliations CMS Care Compare

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

Metrohealth System

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360059
Location2500 Metrohealth DriveCleveland, OH 44109 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44109 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 20

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

AMIR RAZAVI MD
Internal Medicine
2500 METROHEALTH DR
CLEVELAND, OH 44109
Cuyahoga County (216) 778-7800
WILLIAM STEPHEN BARNES II DMD
Dentist (Oral and Maxillofacial Surgery)
2500 METROHEALTH DR
CLEVELAND, OH 44109
Cuyahoga County (216) 778-7800
CATHERINE V. DABRAMO MD
Emergency Medicine
2500 METROHEALTH DR
CLEVELAND, OH 44109
Cuyahoga County (216) 778-7800
RHONDA KOCINSKI CNP
Nurse Practitioner (Family)
2500 METROHEALTH DR
CLEVELAND, OH 44109
Cuyahoga County (216) 778-7800
DR. VANESSA PHILLIS HO MD
Surgery (Surgical Critical Care)
2500 METROHEALTH DR
CLEVELAND, OH 44109
Cuyahoga County (216) 778-7800
DR. JOI S. COPELAND DDS
Dentist (General Practice)
2500 METROHEALTH DR
CLEVELAND, OH 44109
Cuyahoga County (216) 778-4725
DR. FRANK KENNER PH.D.
Psychologist (Rehabilitation)
2500 METROHEALTH DR
CLEVELAND, OH 44109
Cuyahoga County (216) 778-7800
DR. KRUPA PARIKH MD
Internal Medicine
2500 METROHEALTH DR
CLEVELAND, OH 44109
Cuyahoga County (216) 778-7800

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 Priyal Gandhi's NPI number?

The NPI number for Priyal Gandhi is 1730658410. It was assigned to this individual provider in the NPPES registry on November 25, 2018.

Where is Priyal Gandhi located?

Priyal Gandhi practices at 2500 Metrohealth Dr, Cleveland, OH 44109. The listed phone number is (216) 696-3876.

What is Priyal Gandhi's specialty?

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

Is Priyal Gandhi enrolled in Medicare?

Yes. Priyal 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 Priyal Gandhi accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Priyal 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 Priyal Gandhi affiliated with any hospitals?

According to CMS data, Priyal Gandhi is affiliated with Metrohealth System.

When was this NPI record last updated?

The NPPES record for Priyal Gandhi was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.