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SANDRA L GADSON MD
NPI 1841297348
Internal Medicine - Nephrology in Merrillville, IN

Active since June 30, 2005PECOS Enrolled
90 W 86TH AVE, MERRILLVILLE, IN 46410(219) 791-1555(219) 791-1560 Get Directions Write a Review

NPPES record last updated: May 31, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 13, 2020, Jul 11, 2017 (2 updates tracked since 2017).

About Sandra L Gadson Md NPPES

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

SANDRA L GADSON MD (NPI 1841297348) is an individual nephrology provider in Merrillville, Indiana, licensed in Indiana (10129625A) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, is affiliated with Methodist Hospitals Inc, and is a graduate of Meharry Medical College School Of Medicine (1976).

NPPES Registry Identity

NPI1841297348
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameSANDRA L GADSONCredential: MD
Location Address90 W 86TH AVEMerrillville, IN 46410-7086
Mailing Address120 W 22nd St Ste 200Oak Brook, IL 60523-1563 · (630) 575-5000
Phone(219) 791-1555
Fax(219) 791-1560
Sole ProprietorNo
Medical School CMSMeharry Medical College School Of MedicineGraduated 1976
Enumeration DateJune 30, 2005
Last NPPES UpdateMay 31, 20222 updates tracked since enumeration
NPPES CertifiedMay 31, 2022
✔ NPI 1841297348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses✔ Licensed in IN · 10129625A✔ Licensed in IL · 036058441
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
90 W 86TH AVE, Merrillville, IN 46410
Open in Google Maps ↗

Other Identifiers 3

Medicaid100360450BIN
Other000000095599IN · Anthem Provider Number
Other090001077IL · Bcbs Illinois

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sandra L Gadson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103738075
PECOS Enrollment IDI20110913000744
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 3

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.

Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month 99426
Principal care management services focus on managing a single high-risk disease. This involves a health care professional directing clinical staff for the first 30 minutes each month. The aim is to monitor your health, coordinate care, and provide necessary support for your disease management.
134 services15 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.
43 services27 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.
39 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Methodist Hospitals Inc

Acute Care Hospitals · Gary, IN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150002
Location600 Grant StGary, IN 46402 · Lake County
Emergency services Birthing friendly

St Mary Medical Center Inc

Acute Care Hospitals · Hobart, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150034
Location1500 S Lake Park AveHobart, IN 46342 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46410 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 14

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

KATRINA E WRIGHT MD
Internal Medicine (Nephrology)
90 W 86TH AVE
MERRILLVILLE, IN 46410
Lake County (219) 791-1555
CINDY CHAPMAN NURSE PRACTITIONER
Nurse Practitioner (Family)
90 W 86TH AVE
MERRILLVILLE, IN 46410
Lake County (219) 791-1555
ALI KHEIRBEK MD
Internal Medicine (Nephrology)
90 W 86TH AVE
MERRILLVILLE, IN 46410
Lake County (219) 791-1555
KATHLEEN WALLACE APN
Nurse Practitioner
90 W 86TH AVE
MERRILLVILLE, IN 46410
Lake County (219) 791-1555
DR. KEVIN ANDRE MYRIE M.D,
Internal Medicine (Nephrology)
90 W 86TH AVE, NEPHROLOGY ASSOCIATES OF NORTHERN INDIANA
MERRILLVILLE, IN 46410
Lake County (219) 791-1555
YVES FRANTZ BRIGNOL MBA/HA, CMC
Internal Medicine (Nephrology)
90 W 86TH AVE
MERRILLVILLE, IN 46410
Lake County (219) 791-1555
DAVID CURTIS PARRISH
Nurse Practitioner (Family)
90 W 86TH AVE
MERRILLVILLE, IN 46410
Lake County (219) 791-1555
KENNETH LEE CHOI MD
Internal Medicine (Nephrology)
90 W 86TH AVE, NANI, LTD
MERRILLVILLE, IN 46410
Lake County (219) 791-1555

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 Sandra Gadson's NPI number?

The NPI number for Sandra Gadson is 1841297348. It was assigned to this individual provider in the NPPES registry on June 30, 2005.

Where is Sandra Gadson located?

Sandra Gadson practices at 90 W 86th Ave, Merrillville, IN 46410. The listed phone number is (219) 791-1555.

What is Sandra Gadson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Sandra Gadson enrolled in Medicare?

Yes. Sandra Gadson is registered in the Medicare PECOS enrollment system.

What insurance does Sandra Gadson accept?

Health plans from CareSource list Sandra Gadson 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 Sandra Gadson affiliated with any hospitals?

According to CMS data, Sandra Gadson is affiliated with Methodist Hospitals Inc and St Mary Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Sandra Gadson was last updated on May 31, 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.