DR. ANTONIO GANDIA MD
NPI 1992896898
Emergency Medicine in Hialeah, FL

Q: What is Antonio Gandia's NPI number?

The NPI number for Antonio Gandia is 1992896898. It was assigned to this individual provider in the NPPES registry on September 27, 2006. The provider is also known as Antonio Gandia MD.

Q: What is Antonio Gandia's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Antonio Gandia was last updated on August 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 September 27, 2006PECOS EnrolledAccepts Medicare Assignment

2001 W 68TH ST, HIALEAH, FL 33016(305) 823-5000(904) 346-0113 Get Directions Write a Review

NPPES record last updated: August 23, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Antonio Gandia Md NPPES

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

DR. ANTONIO GANDIA MD (NPI 1992896898) is an individual emergency medicine provider in Hialeah, Florida, licensed in Florida (ME0053887) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Lower Keys Medical Center, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1992896898

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. ANTONIO GANDIACredential: MD

Location Address2001 W 68TH STHialeah, FL 33016-1801

Mailing AddressPo Box 534235Atlanta, GA 30353-4235 · (305) 651-2270 · Fax (904) 346-0113

Phone(305) 823-5000

Fax(904) 346-0113

Sole ProprietorNo

Medical School CMSOtherGraduated 1981

Enumeration DateSeptember 27, 2006

Last NPPES UpdateAugust 23, 2013

✔ NPI 1992896898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in FL · ME0053887

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

2001 W 68TH ST, Hialeah, FL 33016

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Other Names 1

Other Name (5)Antonio Gandia Md

Other Identifiers 4

Other07848FL · Bcbs

Medicaid030416600FL

Medicare ID-Type Unspecified07848AFL

Medicare UPINE21430FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Antonio Gandia 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 ID2961466255

PECOS Enrollment IDI20041116001069

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.

Medicare Billing Reassignments

Medicare enrollment records show Antonio Gandia reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Criticare Clinics Inc

1.5 mi

Emergency Medicine

14701 NW 77TH AVE
Miami Lakes, FL 33014

Reassigned Medicare billing, Florida enrollment
163 clinicians in this Medicare group

NPI 1508871948 (305) 665-4614

Sterling Emergency Services Of Miami Beach PA

12 mi

Emergency Medicine

2845 AVENTURA BLVD
Aventura, FL 33180

Reassigned Medicare billing, Florida enrollment
105 clinicians in this Medicare group

NPI 1083912471 (877) 693-5700

Md4er LLC

126 mi

Emergency Medical Services

5900 COLLEGE RD
Key West, FL 33040

Reassigned Medicare billing, Florida enrollment
36 clinicians in this Medicare group

NPI 1568851707 (305) 294-5531

Cdr Health Care Inc

394 mi

Family Medicine

313 NORTON DR STE 102
Tallahassee, FL 32308

Reassigned Medicare billing, Florida enrollment
5 clinicians in this Medicare group

NPI 1497352587 (850) 738-7977

Paragon Contracting Services LLC

653 mi

Emergency Medicine

810 SAINT VINCENTS DR
Birmingham, AL 35205

Reassigned Medicare billing, Florida enrollment
802 clinicians in this Medicare group

NPI 1225071459 (205) 939-7100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

109 services102 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

98 services93 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

25 services25 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

24 services23 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Lower Keys Medical Center

Acute Care Hospitals · Key West, FL

3/5 CMS rating

OwnershipProprietary

CMS Certification Number100150

Location5900 College RoadKey West, FL 33040 · Monroe County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33016 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

$96.13 typical visit price

range $60.92 – $187.05

Typical copayment $24.03 (range $15.23 – $46.76)

Most-billed visit code 99203

Established Patient

$107.17 typical visit price

range $18.99 – $150.24

Typical copayment $26.79 (range $4.74 – $37.56)

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 20

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

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