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DR. PRAFULL C GANDHI MD
NPI 1841391042
Internal Medicine in Schaumburg, IL

Active since September 26, 2006PECOS EnrolledAccepts Medicare Assignment
1301 N PLUM GROVE RD, SCHAUMBURG, IL 60173(847) 490-0600 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Prafull C Gandhi Md NPPES

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

DR. PRAFULL C GANDHI MD (NPI 1841391042) is an individual internal medicine provider in Schaumburg, Illinois, licensed in Illinois (036-077669) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1974).

NPPES Registry Identity

NPI1841391042
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. PRAFULL C GANDHICredential: MD
Location Address1301 N PLUM GROVE RDSchaumburg, IL 60173-4547
Mailing Address1530 Center StDes Plaines, IL 60018-1723
Phone(847) 490-0600
Sole ProprietorNo
Medical School CMSOtherGraduated 1974
Enumeration DateSeptember 26, 2006
Last NPPES UpdateOctober 30, 2024
NPPES CertifiedOctober 30, 2024
✔ NPI 1841391042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036-077669
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X · License C187070 (CA)
1301 N PLUM GROVE RD, Schaumburg, IL 60173
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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. Prafull C 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 ID6507921459
PECOS Enrollment IDI20241206001939
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60173 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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 7

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

DR. ASHISH V PATEL MD
Internal Medicine
1301 N PLUM GROVE RD
SCHAUMBURG, IL 60173
Cook County (847) 490-0600
MRS. DARSHNA D VYAS RD,LDN
Dietitian, Registered
1301 N PLUM GROVE RD
SCHAUMBURG, IL 60173
Cook County (847) 490-0600
ASHARAF T DABAWALA M.D.
Family Medicine
1301 N PLUM GROVE RD
SCHAUMBURG, IL 60173
Cook County (847) 490-0600
M PANCHAL MD SC
Physical Medicine & Rehabilitation
1301 N PLUM GROVE RD
SCHAUMBURG, IL 60173
Cook County (847) 545-9028
STERLING MEDICAL EQUIPMENT,LTD.
Durable Medical Equipment & Medical Supplies
1301 N PLUM GROVE RD, SUITE 4
SCHAUMBURG, IL 60173
Cook County (630) 254-2910
DR. MRUNAL PANCHAL MD
Physical Medicine & Rehabilitation
1301 N PLUM GROVE RD
SCHAUMBURG, IL 60173
Cook County (847) 545-9028
MADHUMATI MEHTA M.D.
Family Medicine
1301 N PLUM GROVE RD
SCHAUMBURG, IL 60173
Cook County (847) 490-0600

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 Prafull Gandhi's NPI number?

The NPI number for Prafull Gandhi is 1841391042. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Prafull Gandhi located?

Prafull Gandhi practices at 1301 N Plum Grove Rd, Schaumburg, IL 60173. The listed phone number is (847) 490-0600.

What is Prafull Gandhi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Prafull Gandhi enrolled in Medicare?

Yes. Prafull 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.

When was this NPI record last updated?

The NPPES record for Prafull Gandhi was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.