Dr Nehal Sanjay Gandhi, MD - Medicare Rheumatology in Kennett Square, PA

Dr Nehal Sanjay Gandhi, MD is a medicare enrolled "Internal Medicine - Rheumatology" physician in Kennett Square, Pennsylvania. She graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Rheumatology. She is a member of the group practice American Arthritis And Rheumatology Associates-pa Pc and her current practice location is 200 Old Forge Ln, Suite 203, Kennett Square, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (610) 388-1600.

Dr Nehal Sanjay Gandhi is licensed to practice in Pennsylvania (license number MD426974) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1295909919.

Contact Information

Dr Nehal Sanjay Gandhi, MD
200 Old Forge Ln, Suite 203,
Kennett Square, PA 19348-1895
(610) 388-1600
(610) 388-1601

Map and Direction




Physician's Profile

Full NameDr Nehal Sanjay Gandhi
GenderFemale
SpecialityRheumatology
Experience27 Years
Location200 Old Forge Ln, Kennett Square, Pennsylvania
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Nehal Sanjay Gandhi graduated from medical school in 1997
  NPI Data:
  • NPI Number: 1295909919
  • Provider Enumeration Date: 04/14/2008
  • Last Update Date: 04/07/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 4981625720
  • Enrollment ID: I20051208000608

Medical Identifiers

Medical identifiers for Dr Nehal Sanjay Gandhi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295909919NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RR0500XInternal Medicine - Rheumatology C1-0008650 (Delaware)Secondary
207RR0500XInternal Medicine - Rheumatology MD426974 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Chester County HospitalWest chester, PAHospital
Riddle Memorial HospitalMedia, PAHospital
Christiana HospitalNewark, DEHospital
Crozer Chester Medical CenterUpland, PAHospital
Hospital Of Univ Of PennsylvaniaPhiladelphia, PAHospital

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Nehal Sanjay Gandhi allows following entities to bill medicare on her behalf.
Entity NameRheumatology Care Specialists
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134597735
PECOS PAC ID: 3870897465
Enrollment ID: O20160202000467
Entity NameAmerican Arthritis & Rheumatology Associates-pa Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144877507
PECOS PAC ID: 6406280817
Enrollment ID: O20191218000113

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Nehal Sanjay Gandhi is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Nehal Sanjay Gandhi, MD
200 Old Forge Ln, Suite 203,
Kennett Square, PA 19348-1895

Ph: (610) 388-1600
Dr Nehal Sanjay Gandhi, MD
200 Old Forge Ln, Suite 203,
Kennett Square, PA 19348-1895

Ph: (610) 388-1600

Reviews and Comments


Internal Medicine Doctors in Kennett Square, PA

Matthew Edward Ochs, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 687 Unionville Rd, Kennett Square, PA 19348
Phone: 610-444-2002    Fax: 610-444-4469
Karl A. Zimmerman, MD
Rheumatology
Medicare: Accepting Medicare Assignments
Practice Location: 127 W Street Rd, Suite 101, Kennett Square, PA 19348
Phone: 610-444-1212    Fax: 610-444-3633
Dr. Susan L. Ricciardi, M.D.
Rheumatology
Medicare: Not Enrolled in Medicare
Practice Location: 831 Newhall Rd, Kennett Square, PA 19348
Phone: 610-347-6092    Fax: 610-347-6093
Dr. Glea H Mazzuca, D.O
Rheumatology
Medicare: Accepting Medicare Assignments
Practice Location: 721 E Baltimore Pike, Kennett Square, PA 19348
Phone: 640-765-4200    
Dr. George Edward Mclaughlin, MD
Rheumatology
Medicare: Not Enrolled in Medicare
Practice Location: 518 Wisteria Dr, Kennett Square, PA 19348
Phone: 610-444-1409    
Gary B Bernett, M.D.
Rheumatology
Medicare: Accepting Medicare Assignments
Practice Location: 101 E State St, Kennett Square, PA 19348
Phone: 610-925-4157    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.