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SIDDHARTH J GANDHI DO
NPI 1831226042
Internal Medicine - Interventional Cardiology in Normal, IL

Active since February 27, 2007PECOS EnrolledAccepts Medicare Assignment
1302 FRANKLIN AVE, SUITE 4500, NORMAL, IL 61761(309) 828-1166 Get Directions Write a Review

NPPES record last updated: June 16, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Siddharth J Gandhi Do NPPES

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

SIDDHARTH J GANDHI DO (NPI 1831226042) is an individual interventional cardiology provider in Normal, Illinois, licensed in Illinois (036123295) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Mclaren Central Michigan, and is a graduate of University Of New England, College Of Osteo Medicine (2002).

NPPES Registry Identity

NPI1831226042
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameSIDDHARTH J GANDHICredential: DO
Location Address1302 FRANKLIN AVE, SUITE 4500Normal, IL 61761-3551
Mailing Address1302 Franklin Ave Ste 4500Normal, IL 61761-3593 · (309) 556-8300 · Fax (309) 556-8293
Phone(309) 828-1166
Sole ProprietorNo
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2002
Enumeration DateFebruary 27, 2007
Last NPPES UpdateJune 16, 2022
NPPES CertifiedJune 16, 2022
✔ NPI 1831226042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in IL · 036123295
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
1302 FRANKLIN AVE, Normal, IL 61761
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Siddharth J Gandhi Do 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 ID8022161314
PECOS Enrollment IDI20090804000548, I20221019001335
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 9

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.

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
159 services147 patients
Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458
This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.
93 services92 patients
Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch 92928
This procedure involves placing a small, mesh tube (stent) in your coronary artery to keep it open. A balloon is used to expand the stent and artery, improving blood flow to your heart. It's typically done for a single artery or branch.
40 services38 patients
Ultrasound evaluation of heart blood vessel or graft with review by radiologist, initial vessel 92978
This procedure involves using ultrasound technology to examine the first vessel of your heart or graft. A radiologist will review the images. It's a non-invasive way to check the health of your heart's blood vessels.
32 services30 patients
Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist 93460
This procedure involves placing a tube into the heart chambers and coronary artery. It helps diagnose heart conditions. A radiologist reviews the images obtained. It's a standard, safe procedure performed by experienced medical professionals.
27 services27 patients
Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel 93571
This procedure involves using ultrasound technology to examine the first blood vessel of your heart. It helps identify any abnormalities or issues, providing crucial information for diagnosis or treatment. It's a safe, non-invasive process.
26 services26 patients

Hospital Affiliations CMS Care Compare 5

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

Mclaren Central Michigan

Acute Care Hospitals · Mount Pleasant, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230080
Location1221 South DriveMount Pleasant, MI 48858 · Isabella County
Emergency services Birthing friendly

Mclaren Northern Michigan

Acute Care Hospitals · Petoskey, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230105
Location416 Connable AvePetoskey, MI 49770 · Emmet County
Emergency services Birthing friendly

Munson Healthcare Otsego Memorial Hospital

Acute Care Hospitals · Gaylord, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230133
Location825 N Center AveGaylord, MI 49735 · Otsego County
Birthing friendly

Chippewa County War Memorial Hospital

Acute Care Hospitals · Sault Sainte Marie, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230239
Location500 Osborn BlvdSault Sainte Marie, MI 49783 · Chippewa County
Emergency services Birthing friendly

Charlevoix Area Hospital

Critical Access Hospitals · Charlevoix, MI
OwnershipVoluntary non-profit - Other
CMS Certification Number231322
Location14700 Lakeshore DriveCharlevoix, MI 49720 · Charlevoix County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61761 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$16.14 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
1 supplier12 claims12 services$83.42 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.

ASHTON VAN HEEMST
Behavior Technician
1302 FRANKLIN AVE
NORMAL, IL 61761
McLean County (309) 452-0069
DR. THANOM TEMIYASATHIT M.D.
Internal Medicine (Cardiovascular Disease)
1302 FRANKLIN AVE, SUITE 4500
NORMAL, IL 61761
McLean County (309) 828-1166
SUSAN J SVIENTEK M.D.
Obstetrics & Gynecology
1302 FRANKLIN AVE, SUITE 2200
NORMAL, IL 61761
McLean County (309) 888-9900
BETH L TUMILTY DO
Internal Medicine (Cardiovascular Disease)
1302 FRANKLIN AVE, #4500
NORMAL, IL 61761
McLean County (309) 828-1166
MS. MANEESHA T JOSEPH FNP
Nurse Practitioner (Family)
1302 FRANKLIN AVE, SUITE 3400
NORMAL, IL 61761
McLean County (309) 556-8300
OWEN JOHN BEHRENDT
Behavior Technician
1302 FRANKLIN AVE
NORMAL, IL 61761
McLean County (309) 452-0069
ARELY BETANCOURT
Behavior Technician
1302 FRANKLIN AVE
NORMAL, IL 61761
McLean County (309) 452-0069
DR. CHAE CHU M.D.
Internal Medicine (Pulmonary Disease)
1302 FRANKLIN AVE, #2200
NORMAL, IL 61761
McLean County (309) 662-9631

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 Siddharth Gandhi's NPI number?

The NPI number for Siddharth Gandhi is 1831226042. It was assigned to this individual provider in the NPPES registry on February 27, 2007.

Where is Siddharth Gandhi located?

Siddharth Gandhi practices at 1302 Franklin Ave Suite 4500, Normal, IL 61761. The listed phone number is (309) 828-1166.

What is Siddharth Gandhi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Siddharth Gandhi enrolled in Medicare?

Yes. Siddharth 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 Siddharth Gandhi accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Siddharth 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 Siddharth Gandhi affiliated with any hospitals?

According to CMS data, Siddharth Gandhi is affiliated with Mclaren Central Michigan, Mclaren Northern Michigan, Munson Healthcare Otsego Memorial Hospital, Chippewa County War Memorial Hospital and Charlevoix Area Hospital.

When was this NPI record last updated?

The NPPES record for Siddharth Gandhi was last updated on June 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.