DR. BHAVIKA GANDHI M.D.
NPI 1790148112
Internal Medicine in Wichita Falls, TX

Q: What is Bhavika Gandhi's NPI number?

The NPI number for Bhavika Gandhi is 1790148112. It was assigned to this individual provider in the NPPES registry on April 2, 2016.

Q: What is Bhavika Gandhi's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Bhavika Gandhi was last updated on October 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since April 02, 2016PECOS EnrolledAccepts Medicare Assignment

83.17/100

CMS Quality Rating

1600 11TH ST, WICHITA FALLS, TX 76301(940) 263-3000(940) 263-3018 Get Directions Write a Review

NPPES record last updated: October 25, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 25, 2019, Apr 2, 2016 (2 updates tracked since 2016).

On this page

About Dr. Bhavika Gandhi M.d. NPPES

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

DR. BHAVIKA GANDHI M.D. (NPI 1790148112) is an individual internal medicine provider in Wichita Falls, Texas, licensed in Texas (S1097) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Wichita Falls, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1790148112

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. BHAVIKA GANDHICredential: M.D.

Location Address1600 11TH STWichita Falls, TX 76301

Mailing Address1631 11th St Unit BWichita Falls, TX 76301-4332 · (940) 263-3000 · Fax (940) 263-3018

Phone(940) 263-3000

Fax(940) 263-3018

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateApril 2, 2016

Last NPPES UpdateOctober 25, 20192 updates tracked since enumeration

✔ NPI 1790148112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in TX · S1097

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.

1600 11TH ST, Wichita Falls, TX 76301

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Secondary Practice Location 1

Location 11600 11th StWichita Falls, TX 76301 · Phone (940) 263-3000 · Fax (940) 263-3018

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross and Blue Shield of Texas, Blue Cross Blue Shield of Arizona 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

Dr. Bhavika 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 ID5395077275

PECOS Enrollment IDI20220825001767

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 20

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.

844 services294 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.

348 services156 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.

293 services176 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

225 services195 patients

Kidney function blood test panel 80069

A kidney function blood test panel checks how well your kidneys are working. It measures levels of various substances in your blood, including proteins, electrolytes, and waste products. The results can help detect potential kidney issues early.

195 services111 patients

Total protein level, urine 84156

The Total Protein Level in urine test measures the amount of protein present in your urine. This helps to check kidney health as high levels may indicate a problem. It's a simple, non-invasive procedure involving a urine sample.

138 services81 patients

Creatinine level to test for kidney function or muscle injury 82570

A creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.

133 services78 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.

115 services100 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

106 services77 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

95 services33 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

76 services76 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

66 services34 patients

Hemodialysis procedure with physician evaluation 90935

Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.

54 services30 patients

Parathormone (parathyroid hormone) level 83970

The Parathormone level test measures the amount of parathyroid hormone in your blood. This hormone controls calcium and phosphorus levels in the body, which are vital for bone health. Abnormal levels may indicate issues like kidney disease or parathyroid gland disorders.

48 services41 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test 85027

A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.

48 services44 patients

Magnesium level 83735

A magnesium level test is a simple blood test that measures the amount of magnesium in your body. Magnesium is a crucial mineral that helps your nerves, muscles, and heart function properly. The test can help detect health conditions like kidney disease or malnutrition.

35 services30 patients

Blood count, hemoglobin 85018

A blood count, specifically hemoglobin, is a standard test that measures the amount of hemoglobin in your blood. Hemoglobin is a protein in red blood cells that carries oxygen throughout your body. This test helps assess your overall health and detect a variety of disorders such as anemia or polycythemia.

28 services22 patients

Dihydroxyvitamin d, 1, 25 level 82652

The Dihydroxyvitamin D, 1, 25 level test measures the active form of Vitamin D in your body. It's useful for diagnosing or monitoring problems related to bone health or parathyroid gland function. It involves a simple blood draw.

25 services19 patients

Blood test, basic group of blood chemicals (calcium, total) 80048

A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.

18 services16 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76301 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

83.17/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

63.63

Promoting Interoperability

Improvement Activities

Cost

65.27

Reported Quality Measures

Breast Cancer Screening

0%200 patients1/55-star benchmark: 93%

Cervical Cancer Screening

0%153 patients1/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

45%157 patients3/55-star benchmark: 87%

Controlling High Blood Pressure

65%397 patients3/55-star benchmark: 91%

Diabetes: Eye Exam

0%186 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

89%186 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

59%2,584 patients2/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

0%431 patients1/55-star benchmark: 100%

HIV Screening

4%341 patients1/55-star benchmark: 60%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

21%703 patients1/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

1%731 patients1/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

17%1,177 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 1% · 511 patients

1%511 patients

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

80%230 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 450 patients

Patients totalRate: 0% · 450 patients

0%450 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier11 claims11 services$90.60 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

1 supplier11 claims11 services$33.74 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 20

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

OBSERVATION SERVICES OF WICHITA FALLS LLC

Emergency Medicine

1600 11TH ST
WICHITA FALLS, TX 76301

Wichita County (940) 642-8850

UNITED REGIONAL HEALTH CARE SYSTEM INC

General Acute Care Hospital

1600 11TH ST
WICHITA FALLS, TX 76301

Wichita County (940) 764-3034

TITANIUM EMERGENCY GROUP LLP

Emergency Medicine

1600 11TH ST
WICHITA FALLS, TX 76301

Wichita County (940) 642-8850

KY HUYNH M.D.

Anesthesiology

1600 11TH ST
WICHITA FALLS, TX 76301

Wichita County (940) 764-7000

MR. MATTHEW PAUL BAKER R.PH.

Pharmacist

1600 11TH ST
WICHITA FALLS, TX 76301

Wichita County (940) 764-3849

DR. CORTNIE H WALKER M.D.

Emergency Medicine

1600 11TH ST, EMERGENCY DEPT
WICHITA FALLS, TX 76301

Wichita County (732) 742-1491

ASSISTING SERVICES,LLC

Registered Nurse

1600 11TH ST
WICHITA FALLS, TX 76301

Wichita County (423) 432-8072

DANIEL A AMADOR NP

Nurse Practitioner (Acute Care)

1600 11TH ST
WICHITA FALLS, TX 76301

Wichita County (940) 263-3000

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 Bhavika Gandhi's NPI number?

The NPI number for Bhavika Gandhi is 1790148112. It was assigned to this individual provider in the NPPES registry on April 2, 2016.

Where is Bhavika Gandhi located?

Bhavika Gandhi practices at 1600 11th St, Wichita Falls, TX 76301. The listed phone number is (940) 263-3000.

What is Bhavika Gandhi's specialty?

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

Is Bhavika Gandhi enrolled in Medicare?

Yes. Bhavika 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 Bhavika Gandhi accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc. and Oscar Health Plan, Inc. list Bhavika 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 Bhavika Gandhi was last updated on October 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.