SHIPRA GANDHI M.B.B.S.
NPI 1801154711
Internal Medicine - Medical Oncology in Buffalo, NY

Q: What is Shipra Gandhi's NPI number?

The NPI number for Shipra Gandhi is 1801154711. It was assigned to this individual provider in the NPPES registry on April 27, 2012.

Q: What is Shipra Gandhi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Q: When was this NPI record last updated?

The NPPES record for Shipra Gandhi was last updated on February 16, 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.

Active since April 27, 2012PECOS EnrolledAccepts Medicare Assignment

ELM AND CARLTON STREETS RPCI CLINICAL PRACTICE PLAN, BUFFALO, NY 14263(716) 845-2300 Get Directions Write a Review

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

Record update history: Feb 16, 2021, Jun 12, 2018 (2 updates tracked since 2018).

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About Shipra Gandhi M.b.b.s. NPPES

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

SHIPRA GANDHI M.B.B.S. (NPI 1801154711) is an individual medical oncology provider in Buffalo, New York, licensed in New York (280590) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1801154711

Entity TypeIndividualFemale

Primary Taxonomy207RX0202X

Provider Legal NameSHIPRA GANDHICredential: M.B.B.S.

Location AddressELM AND CARLTON STREETS RPCI CLINICAL PRACTICE PLANBuffalo, NY 14263

Mailing Address462 Grider St, David K. Miller BuildingBuffalo, NY 14215-3021 · (716) 898-4226 · Fax (716) 898-3279

Phone(716) 845-2300

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateApril 27, 2012

Last NPPES UpdateFebruary 16, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 16, 2021

✔ NPI 1801154711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RX0202X

License✔ Licensed in NY · 280590

Definition

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

ELM AND CARLTON STREETS RPCI CLINICAL PRACTICE PLAN, Buffalo, NY 14263

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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

Shipra Gandhi M.b.b.s. 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 ID1355697764

PECOS Enrollment IDI20250129000354

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 2

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 high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

26 services18 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Emory University Hospital

Acute Care Hospitals · Atlanta, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110010

Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County

Emergency services

Emory Decatur Hospital

Acute Care Hospitals · Decatur, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110076

Location2701 N Decatur RoadDecatur, GA 30033 · De Kalb County

Emergency services Birthing friendly

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110078

Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14263 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

$166.88 typical visit price

range $54.87 – $166.88

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

Most-billed visit code 99205

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

Other Providers at the Same Location NPPES 3

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

MIRANDA SOKAN

Nurse Practitioner

ELM AND CARLTON STREETS RPCI CLINICAL PRACTICE PLAN
BUFFALO, NY 14263

Erie County (716) 845-2300

DR. AGNIESZKA K. WITKIEWICZ M.D.

Pathology (Anatomic Pathology)

ELM AND CARLTON STREETS RPCI CLINICAL PRACTICE PLAN
BUFFALO, NY 14263

Erie County (716) 845-2300

MRS. ALYSON BROWN

Nurse Practitioner

ELM AND CARLTON STREETS RPCI CLINICAL PRACTICE PLAN
BUFFALO, NY 14263

Erie County (716) 845-2300

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 Shipra Gandhi's NPI number?

The NPI number for Shipra Gandhi is 1801154711. It was assigned to this individual provider in the NPPES registry on April 27, 2012.

Where is Shipra Gandhi located?

Shipra Gandhi practices at Elm And Carlton Streets Rpci Clinical Practice Plan, Buffalo, NY 14263. The listed phone number is (716) 845-2300.

What is Shipra Gandhi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Shipra Gandhi enrolled in Medicare?

Yes. Shipra 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 Shipra Gandhi accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Shipra 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 Shipra Gandhi affiliated with any hospitals?

According to CMS data, Shipra Gandhi is affiliated with Emory University Hospital, Emory Decatur Hospital and Emory University Hospital Midtown.

When was this NPI record last updated?

The NPPES record for Shipra Gandhi was last updated on February 16, 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.