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DR. JUSTIN KIDD GANDIA M.D.
NPI 1770549321
Obstetrics & Gynecology in Chicago, IL

Active since April 24, 2006PECOS EnrolledAccepts Medicare Assignment
84.57/100
CMS Quality Rating
500 E 51ST ST, CHICAGO, IL 60615(312) 572-2676 Get Directions Write a Review

NPPES record last updated: April 23, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Justin Kidd Gandia M.d. NPPES

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

DR. JUSTIN KIDD GANDIA M.D. (NPI 1770549321) is an individual obstetrics & gynecology provider in Chicago, Illinois, licensed in Illinois (036-106332) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with John H Stroger Jr Hospital, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1770549321
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. JUSTIN KIDD GANDIACredential: M.D.
Location Address500 E 51ST STChicago, IL 60615-2400
Mailing Address4242 N Damen AveChicago, IL 60618-3063 · (773) 416-1411
Phone(312) 572-2676
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateApril 24, 2006
Last NPPES UpdateApril 23, 2021
NPPES CertifiedApril 23, 2021
✔ NPI 1770549321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in IL · 036-106332
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
500 E 51ST ST, Chicago, IL 60615
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. Justin Kidd Gandia 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 ID547439242
PECOS Enrollment IDI20110815000760
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

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 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.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60615 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
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
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. KIMBERLY LOIS JOHNSON M.D.
Anesthesiology
500 E 51ST ST
CHICAGO, IL 60615
Cook County (312) 572-2680
DR. RALPH SOLOMON M.D.
Anesthesiology
500 E 51ST ST
CHICAGO, IL 60615
Cook County (312) 572-1202
MARGARET HENNESSY
Physical Therapist
500 E 51ST ST
CHICAGO, IL 60615
Cook County (312) 572-2000
SHEBA AMPALLOOR M.D.
Emergency Medicine
500 E 51ST ST, PROVIDENT HOSPITAL OF COOK COUNTY
CHICAGO, IL 60615
Cook County (312) 572-1200
ARTHUR H MOSWIN M.D.
Internal Medicine
500 E 51ST ST, 7TH FLOOR
CHICAGO, IL 60615
Cook County (312) 791-3455
NANCY M ANGEL P.T.
Physical Therapist
500 E 51ST ST
CHICAGO, IL 60615
Cook County (312) 572-2194
MARK DOUGLAS KRAUSE M.D.
Anesthesiology
500 E 51ST ST, SUITE 7047
CHICAGO, IL 60615
Cook County (312) 572-2678
DR. CHARLES EDOIGIAWERIE M.D.
Family Medicine
500 E 51ST ST
CHICAGO, IL 60615
Cook County (312) 572-2675

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 Justin Gandia's NPI number?

The NPI number for Justin Gandia is 1770549321. It was assigned to this individual provider in the NPPES registry on April 24, 2006.

Where is Justin Gandia located?

Justin Gandia practices at 500 E 51st St, Chicago, IL 60615. The listed phone number is (312) 572-2676.

What is Justin Gandia's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Justin Gandia enrolled in Medicare?

Yes. Justin Gandia 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 Justin Gandia accept?

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

According to CMS data, Justin Gandia is affiliated with John H Stroger Jr Hospital.

When was this NPI record last updated?

The NPPES record for Justin Gandia was last updated on April 23, 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.