DR. VIRAL GIRISHCHANDRA GANDHI MD
NPI 1811245970
Internal Medicine - Pulmonary Disease in Albuquerque, NM

Q: What is Viral Gandhi's NPI number?

The NPI number for Viral Gandhi is 1811245970. It was assigned to this individual provider in the NPPES registry on August 21, 2012.

Q: What is Viral Gandhi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Viral Gandhi was last updated on November 18, 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 August 21, 2012PECOS EnrolledAccepts Medicare Assignment

97.58/100

CMS Quality Rating

500 WALTER ST NE STE 501, ALBUQUERQUE, NM 87102(505) 727-3170(505) 727-3171 Get Directions Write a Review

NPPES record last updated: November 18, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Viral Girishchandra Gandhi Md NPPES

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

DR. VIRAL GIRISHCHANDRA GANDHI MD (NPI 1811245970) is an individual pulmonary disease provider in Albuquerque, New Mexico, licensed in New Mexico (MD2018-0176) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS, is affiliated with Lovelace Medical Center, and maintains a secondary practice location in Pittsburgh.

NPPES Registry Identity

NPI1811245970

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. VIRAL GIRISHCHANDRA GANDHICredential: MD

Location Address500 WALTER ST NE STE 501Albuquerque, NM 87102

Mailing Address500 Walter St Ne Ste 501Albuquerque, NM 87102-2521 · (505) 727-3170

Phone(505) 727-3170

Fax(505) 727-3171

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateAugust 21, 2012

Last NPPES UpdateNovember 18, 2019

✔ NPI 1811245970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in NM · MD2018-0176

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

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

500 WALTER ST NE STE 501, Albuquerque, NM 87102

Open in Google Maps ↗

Secondary Practice Location 1

Location 1320 E North AvePittsburgh, PA 15212-4756 · Phone (412) 359-3166

Other Identifiers 1

Medicaid34354891NM

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.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. Viral Girishchandra 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.

PECOS PAC ID345538542

PECOS Enrollment IDI20180608000074

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 17

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.

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg J7611

Albuterol is a medication used to treat breathing problems. Administered through a device called a nebulizer, it helps open up the airways in your lungs. This concentrated solution is FDA-approved, non-compounded, and provided in a 1mg dose.

444 services145 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.

236 services186 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

181 services177 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

181 services177 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

171 services168 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

141 services70 patients

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.

119 services74 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.

112 services112 patients

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.

59 services56 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.

55 services11 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.

46 services35 patients

Test for exercise-induced lung stress 94618

An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.

45 services37 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

24 services24 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

24 services24 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.

18 services18 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

17 services17 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Lovelace Medical Center

Acute Care Hospitals · Albuquerque, NM

3/5 CMS rating

OwnershipProprietary

CMS Certification Number320009

Location601 Dr Martin Luther King Jr Ave NEAlbuquerque, NM 87102 · Bernalillo County

Emergency services

Lovelace Women's Hospital

Acute Care Hospitals · Albuquerque, NM

1/5 CMS rating

OwnershipProprietary

CMS Certification Number320017

Location4701 Montgomery Boulevard NEAlbuquerque, NM 87109 · Bernalillo County

Emergency services Birthing friendly

Lovelace Westside Hospital

Acute Care Hospitals · Albuquerque, NM

2/5 CMS rating

OwnershipProprietary

CMS Certification Number320074

Location10501 Golf Course Road NWAlbuquerque, NM 87114 · Bernalillo County

Emergency services

Lovelace Regional Hospital - Roswell

Acute Care Hospitals · Roswell, NM

3/5 CMS rating

OwnershipProprietary

CMS Certification Number320086

Location117 East 19th StreetRoswell, NM 88201 · Chaves County

Emergency services Birthing friendly

Cibola General Hospital

Critical Access Hospitals · Grants, NM

OwnershipVoluntary non-profit - Private

CMS Certification Number321308

Location1016 E Roosevelt AvenueGrants, NM 87020 · Cibola County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87102 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

$126.21 typical visit price

range $54.26 – $166.80

Typical copayment $31.55 (range $13.56 – $41.70)

Most-billed visit code 99204

Established Patient

$96.38 typical visit price

range $17.00 – $135.35

Typical copayment $24.09 (range $4.25 – $33.83)

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.

97.58/100

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

Scored through an Alternative Payment Model

Quality

86.53

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 9

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

12 suppliers135 claims135 services$16.55 avg. paid by Medicare

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$40.09 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

9 suppliers125 claims133 services$4.68 avg. paid by Medicare

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

14 suppliers307 claims307 services$79.51 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

4 suppliers78 claims87 services$35.94 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

10 suppliers30 claims1,590 services$0.09 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 3

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

ANGEL LORETTA GUTIERREZ CNP

Nurse Practitioner (Family)

500 WALTER ST NE STE 501
ALBUQUERQUE, NM 87102

Bernalillo County (505) 727-3170

THERESA RENEE HEYNEKAMP MD

Internal Medicine (Pulmonary Disease)

500 WALTER ST NE STE 501
ALBUQUERQUE, NM 87102

Bernalillo County (505) 727-3170

SIVAKUMAR NAGARAJU MD

Internal Medicine (Pulmonary Disease)

500 WALTER ST NE STE 501
ALBUQUERQUE, NM 87102

Bernalillo County (505) 727-3170

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 Viral Gandhi's NPI number?

The NPI number for Viral Gandhi is 1811245970. It was assigned to this individual provider in the NPPES registry on August 21, 2012.

Where is Viral Gandhi located?

Viral Gandhi practices at 500 Walter St NE Ste 501, Albuquerque, NM 87102. The listed phone number is (505) 727-3170.

What is Viral Gandhi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Viral Gandhi enrolled in Medicare?

Yes. Viral 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 Viral Gandhi accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Viral 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 Viral Gandhi affiliated with any hospitals?

According to CMS data, Viral Gandhi is affiliated with Lovelace Medical Center, Lovelace Women's Hospital, Lovelace Westside Hospital, Lovelace Regional Hospital - Roswell and Cibola General Hospital.

When was this NPI record last updated?

The NPPES record for Viral Gandhi was last updated on November 18, 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.