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GUNJAN Y GANDHI M.D.
NPI 1952387912
Internal Medicine - Endocrinology, Diabetes & Metabolism in Jacksonville, FL

Active since December 21, 2005PECOS EnrolledAccepts Medicare Assignment
81.9/100
CMS Quality Rating
653 W 8TH ST, JACKSONVILLE, FL 32209(904) 383-1004(904) 633-0022 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Sep 22, 2017 and 1 more (4 updates tracked since 2017).

About Gunjan Y Gandhi M.d. NPPES

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

GUNJAN Y GANDHI M.D. (NPI 1952387912) is an individual endocrinology, diabetes & metabolism provider in Jacksonville, Florida, licensed in Florida (ME100981) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Shands Jacksonville, and maintains a secondary practice location in Saint Paul.

NPPES Registry Identity

NPI1952387912
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameGUNJAN Y GANDHICredential: M.D.
Location Address653 W 8TH STJacksonville, FL 32209-6511
Mailing AddressPo Box 44008Jacksonville, FL 32231-4008 · (904) 244-3660 · Fax (904) 244-3425
Phone(904) 383-1004
Fax(904) 633-0022
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateDecember 21, 2005
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
✔ NPI 1952387912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Licenses✔ Licensed in FL · ME100981✔ Licensed in MN · 45977
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
653 W 8TH ST, Jacksonville, FL 32209
Open in Google Maps ↗

Secondary Practice Location 1

Location 1255 Smith Ave N, Suite 100Saint Paul, MN 55102-2572 · Phone (651) 241-5000 · Fax (651) 241-7678

Other Identifiers 4

OtherA0319YFL · Medicare
Medicaid003166313AGA
Medicaid000257900FL
Medicaid570668800MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) 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

Gunjan Y Gandhi M.d. 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 ID3779551858
PECOS Enrollment IDI20081009000749
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 8

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.

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.
152 services103 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.
44 services33 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.
29 services14 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.
26 services26 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.
25 services25 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.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Shands Jacksonville

Acute Care Hospitals · Jacksonville, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100001
Location655 W 8th StJacksonville, FL 32209 · Duval County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32209 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

81.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.43
Promoting Interoperability100
Improvement Activities40
Cost59.59

Referred Medical Equipment & Supplies CMS DME claims 6

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
3 suppliers17 claims211 services$17.82 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
4 suppliers20 claims589 services$2.24 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
17 suppliers39 claims156 services$6.22 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers19 claims41 services$1.14 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
3 suppliers21 claims21 services$311.53 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
11 suppliers204 claims206 services$183.82 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.

MICHAEL DAVID SCHWEITZER BARRIOS MD
Internal Medicine (Pulmonary Disease)
653 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (904) 383-1014
MRS. BRITTENY WINBURN
Nurse Practitioner (Pediatrics)
653 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (904) 244-3660
KELLY MARIE RUFF APRN
Nurse Practitioner
653 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (904) 244-2061
UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS, INC
Oral & Maxillofacial Surgery
653 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (904) 244-2000
KIMBERLY GREENWOOD JOHNSON AUDIOLOGIST
Audiologist
653 W 8TH ST, UFJAX - DEPT. OF SURGERY/OTOLARYNGOLOGY
JACKSONVILLE, FL 32209
Duval County (904) 244-7463
ANGELA M MASSEY ARNP
Nurse Practitioner (Family)
653 W 8TH ST, UROLOGY DEPT. 2ND FLOOR
JACKSONVILLE, FL 32209
Duval County (904) 244-7340
DR. TARIQ ALMEREY MD, FACS
Surgery (Surgical Oncology)
653 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (904) 244-9525
MS. SHANAI LASHAYLA DIXON MD
Student in an Organized Health Care Education/Training Program
653 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (904) 244-3902

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 Gunjan Gandhi's NPI number?

The NPI number for Gunjan Gandhi is 1952387912. It was assigned to this individual provider in the NPPES registry on December 21, 2005.

Where is Gunjan Gandhi located?

Gunjan Gandhi practices at 653 W 8th St, Jacksonville, FL 32209. The listed phone number is (904) 383-1004.

What is Gunjan Gandhi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Gunjan Gandhi enrolled in Medicare?

Yes. Gunjan 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 Gunjan Gandhi accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare list Gunjan 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 Gunjan Gandhi affiliated with any hospitals?

According to CMS data, Gunjan Gandhi is affiliated with Shands Jacksonville.

When was this NPI record last updated?

The NPPES record for Gunjan Gandhi was last updated on July 21, 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.