NILAY GANDHI M.D.
NPI 1972966539
Family Medicine in Paw Paw, MI

Q: What is Nilay Gandhi's NPI number?

The NPI number for Nilay Gandhi is 1972966539. It was assigned to this individual provider in the NPPES registry on March 31, 2016.

Q: What is Nilay Gandhi's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Nilay Gandhi was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 March 31, 2016PECOS EnrolledAccepts Medicare Assignment

451 HEALTH PKWY STE G, PAW PAW, MI 49079(269) 668-3348 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 8, 2020, Jul 5, 2019, Mar 31, 2016 (3 updates tracked since 2016).

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About Nilay Gandhi M.d. NPPES

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

NILAY GANDHI M.D. (NPI 1972966539) is an individual family medicine provider in Paw Paw, Michigan, licensed in Michigan (4301118955) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Bronson Methodist Hospital, and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1972966539

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameNILAY GANDHICredential: M.D.

Location Address451 HEALTH PKWY STE GPaw Paw, MI 49079

Mailing Address451 Health Pkwy Ste GPaw Paw, MI 49079-8242 · (269) 668-3348

Phone(269) 668-3348

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMarch 31, 2016

Last NPPES UpdateNovember 27, 20233 updates tracked since enumeration

NPPES CertifiedOctober 8, 2020

✔ NPI 1972966539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in MI · 4301118955✔ Licensed in IN · 11018875A

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

451 HEALTH PKWY STE G, Paw Paw, MI 49079

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Secondary Practice Location 1

Location 18414 Naab Rd, Suite 120Indianapolis, IN 46260-1972 · Phone (317) 338-7510 · Fax (317) 338-7494

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority 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

Nilay 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 ID6305137910

PECOS Enrollment IDI20190723003309

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.

Hospital Affiliations CMS Care Compare 3

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

Bronson Methodist Hospital

Acute Care Hospitals · Kalamazoo, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230017

Location601 John StreetKalamazoo, MI 49007 · Kalamazoo County

Emergency services Birthing friendly

Bronson South Haven Hospital

Acute Care Hospitals · South Haven, MI

OwnershipGovernment - Hospital District or Authority

CMS Certification Number230085

Location955 S Bailey AveSouth Haven, MI 49090 · Van Buren County

Emergency services

Bronson Lakeview Hospital

Critical Access Hospitals · Paw Paw, MI

OwnershipVoluntary non-profit - Private

CMS Certification Number231332

Location408 Hazen StreetPaw Paw, MI 49079 · Van Buren County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49079 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

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

3 suppliers11 claims690 services$0.08 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

3 suppliers18 claims21 services$188.26 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 6

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

ALEJANDRA SOLIS PA-C

Physician Assistant