RUPALI GANDHI MD
NPI 1801912621
Pediatrics - Pediatric Cardiology in Chicago, IL
About Rupali Gandhi Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RUPALI GANDHI MD (NPI 1801912621) is an individual pediatric cardiology provider in Chicago, Illinois, licensed in Illinois (036133517) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Oak Lawn, and is a graduate of Yale University School Of Medicine (2004).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Rupali Gandhi Md 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.
Medicare Billing Reassignments
3Medicare enrollment records show Rupali Gandhi reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Chicago, IL 60637
- Reassigned Medicare billing, Illinois enrollment
- 1,905 clinicians in this Medicare group
Chicago, IL 60637
- Reassigned Medicare billing, Illinois enrollment
- Also billed through NPI 1477262046 (Illinois)
- 2,237 clinicians in this Medicare group
Oak Lawn, IL 60453
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Advocate Health And Hospitals Corporation
- 4,870 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.
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.
CHICAGO, IL 60637
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 Rupali Gandhi's NPI number?
The NPI number for Rupali Gandhi is 1801912621. It was assigned to this individual provider in the NPPES registry on March 22, 2007.
Where is Rupali Gandhi located?
Rupali Gandhi practices at 5841 S Maryland Ave, Chicago, IL 60637. The listed phone number is (888) 824-0200.
What is Rupali Gandhi's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.
Is Rupali Gandhi enrolled in Medicare?
Yes. Rupali 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 Rupali Gandhi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rupali Gandhi reassigns Medicare benefits to 3 organizations: The University Of Chicago Medical Center (Chicago, IL), University Of Chicago (Chicago, IL) and Advocate Health & Hospitals Corporation (Oak Lawn, 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 Rupali Gandhi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rupali Gandhi accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Rupali 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 Rupali Gandhi was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Rupali Gandhi, MD · NPI 1801912621
Pediatric Cardiology physician in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since March 22, 2007.
## Identity
- **NPI:** 1801912621 (Entity type: Individual)
- **Enumerated:** March 22, 2007
- **Primary specialty:** Pediatrics - Pediatric Cardiology · taxonomy 2080P0202X
- **State license:** 036133517 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 5841 S MARYLAND AVE, Chicago, IL 60637-1443
- **Phone:** (888) 824-0200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): The University Of Chicago Medical Center (NPI 1033218128, Chicago, IL); University Of Chicago (NPI 1821048786, Chicago, IL); Advocate Health & Hospitals Corporation (NPI 1912936014, Oak Lawn, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Yale University School Of Medicine, class of 2004
## Record status
- **NPPES last updated:** February 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1801912621) · Data from the CMS NPPES public registry.