PULKIT GANDHI M.D.
NPI 1982010971
Internal Medicine - Nephrology in Rocky Mount, NC

Active since July 10, 2014PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating
901 N WINSTEAD AVE, ROCKY MOUNT, NC 27804(252) 937-0241(252) 937-3104 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 30, 2020, Aug 1, 2019, Jul 12, 2019 and 1 more (4 updates tracked since 2019).

About Pulkit Gandhi M.d. NPPES

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

PULKIT GANDHI M.D. (NPI 1982010971) is an individual nephrology provider in Rocky Mount, North Carolina, licensed in North Carolina (2024-02046) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, is affiliated with Vidant Edgecombe Hospital, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1982010971
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NamePULKIT GANDHICredential: M.D.
Location Address901 N WINSTEAD AVERocky Mount, NC 27804-8467
Mailing AddressPo Box 7200Rocky Mount, NC 27804-0200 · (252) 937-0200 · Fax (252) 451-0056
Fax(252) 937-3104
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 10, 2014
Last NPPES UpdateJanuary 13, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2025
NPI 1982010971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses Licensed in NC · 2024-02046 Licensed in NY · 298352
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.
Also ListedHospitalistTaxonomy 208M00000X · License 298352 (NY)
901 N WINSTEAD AVE, Rocky Mount, NC 27804

Secondary Practice Locations 5

Location 11200 Driving Park AveNewark, NY 14513-1090 · Phone (315) 359-2123 · Fax (315) 359-2167
Location 22 Coulter RdClifton Springs, NY 14432-1122 · Phone (315) 462-1472 · Fax (315) 462-2639
Location 31425 Portland AveRochester, NY 14621 · Phone (585) 922-5067 · Fax (585) 922-2908
Location 41200 Driving Park Ave Ste 5Newark, NY 14513-1090 · Phone (585) 922-0400 · Fax (315) 359-2951
Location 5370 E Ridge Rd Ste 20Rochester, NY 14621-1239 · Phone (585) 922-0400 · Fax (585) 922-0455

Accepted 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

Pulkit 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 ID1557662301
PECOS Enrollment IDI20190621000917, I20250108001351
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.

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.
160 services62 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
109 services33 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.
84 services54 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
76 services37 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
35 services18 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
29 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Vidant Edgecombe Hospital

Acute Care Hospitals · Tarboro, NC
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340107
Location111 Hospital DrTarboro, NC 27886 · Edgecombe County
Emergency services Birthing friendly

Unc Health Nash

Acute Care Hospitals · Rocky Mount, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340147
Location2460 Curtis Ellis DriveRocky Mount, NC 27804 · Nash County
Emergency services Birthing friendly

Ecu Health North Hospital

Acute Care Hospitals · Roanoke Rapids, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340151
Location250 Smith Church RoadRoanoke Rapids, NC 27870 · Halifax County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27804 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

95.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality70.62
Promoting Interoperability100
Improvement Activities40

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.

Pharmacist
901 N WINSTEAD AVE
ROCKY MOUNT, NC 27804
Dentist (General Practice)
901 N WINSTEAD AVE, SUITE 110
ROCKY MOUNT, NC 27804
Dentist (Oral and Maxillofacial Surgery)
901 N WINSTEAD AVE, SUITE 130
ROCKY MOUNT, NC 27804
Internal Medicine
901 N WINSTEAD AVE
ROCKY MOUNT, NC 27804
Nurse Practitioner (Acute Care)
901 N WINSTEAD AVE
ROCKY MOUNT, NC 27804
Physician Assistant
901 N WINSTEAD AVE
ROCKY MOUNT, NC 27804
Optometrist
901 N WINSTEAD AVE, SUITE 190
ROCKY MOUNT, NC 27804
Pharmacist
901 N WINSTEAD AVE, STE 100
ROCKY MOUNT, NC 27804

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 Pulkit Gandhi's NPI number?

The NPI number for Pulkit Gandhi is 1982010971. It was assigned to this individual provider in the NPPES registry on July 10, 2014.

Where is Pulkit Gandhi located?

Pulkit Gandhi practices at 901 N Winstead Ave, Rocky Mount, NC 27804. The listed phone number is (252) 937-0241.

What is Pulkit Gandhi's specialty?

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

Is Pulkit Gandhi enrolled in Medicare?

Yes. Pulkit 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 Pulkit Gandhi accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Pulkit 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 Pulkit Gandhi affiliated with any hospitals?

According to CMS data, Pulkit Gandhi is affiliated with Vidant Edgecombe Hospital, Unc Health Nash and Ecu Health North Hospital.

When was this NPI record last updated?

The NPPES record for Pulkit Gandhi was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.