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Renu D Gandhi, MD

Pediatrics · San Jose

NPI 1629137542

Medicare standing
1 flag on the record
Listed below.
Plans that list them
2
1 carrier
Office
1

On the public record

  • Medicare does not list them as allowed to order and refer

Offices

1 location

Plans that list them

2 plans · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Gandhi’s office at (408) 885-5000 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

Plans whose provider directory lists this clinician
Anthem Full Dual Advantage Aligned (HMO D-SNP)Anthem Blue CrossListedOct 3, 2026
Anthem Medicare Advantage (HMO-POS)Anthem Blue CrossListedOct 3, 2026

California Medical Board record

Licence A48798 · Current

Licensed to practise in California · since 1990 · expires 2028-04-30 · Gujarat University, B. J. Medical College.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Medicaid work

$452,593 in 2024

Medicaid paid $452,593 for 4,178 billed services this clinician did in 2024, up to 126 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
Clinic visit/encounter, all-inclusive868$450,516
Short return visit (20+ min)1,461$2,077
Pain severity quantified; pain present (COA) (ONC)13$0
Pain severity quantified; no pain present (COA) (ONC)27$0
Medication list documented in medical record (COA)1,117$0
Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD)356$0
Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM)336$0
Medicaid work by year
20244,1787126$452,593
20233,6376149$614,136
20222,6466135$411,571
20213,3697175$554,929
20201,6075114$196,959
20192,3473100$358,931
20181,630690$269,326
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Clinic visit/encounter, all-inclusive1,213$606,914
Short return visit (20+ min)1,914$6,246
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only116$766
Short return visit117$210
Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD)148$0
Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM)129$0

2022

Largest Medicaid services in 2022
Clinic visit/encounter, all-inclusive827$404,300
Short return visit (20+ min)1,362$5,635
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only154$1,095
Short return visit209$542
Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD)54$0
Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM)40$0

2021

Largest Medicaid services in 2021
Clinic visit/encounter, all-inclusive1,141$549,675
Short return visit1,195$1,984
Short return visit (20+ min)805$1,851
Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]), amplified probe technique102$1,419
Most recent hemoglobin A1c (HbA1c) level less than 7.0% (DM)19$0
Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD)56$0
Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM)51$0

2020

Largest Medicaid services in 2020
Clinic visit/encounter, all-inclusive585$194,021
Short return visit (20+ min)823$2,012
Short return visit173$399
Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant14$269
Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter12$258

2019

Largest Medicaid services in 2019
Clinic visit/encounter, all-inclusive1,061$354,109
Short return visit (20+ min)1,274$4,631
Subsequent hospital care, per day, for evaluation and management of normal newborn12$191

2018

Largest Medicaid services in 2018
Clinic visit/encounter, all-inclusive799$260,920
Short return visit (20+ min)670$3,581
Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant48$1,497
Service30$1,291
Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter43$1,270
Subsequent hospital care, per day, for evaluation and management of normal newborn40$767

Money from drug and device companies

$28 in 2021

A payment is not proof that care is biased.

Payments by company
GlaxoSmithKlineTrelegy Ellipta$28
1 payment
  • Meals for Trelegy Ellipta · 2021-10-27 · $28
See the published payment
Every published payment
GlaxoSmithKlineMeals · 2021-10-27Trelegy Ellipta$28

Professional record

NPI
1629137542
Licence
CA A48798California A48798: Current · expires 2028-04-30
More record details
Sole proprietor
No
Taxonomy
Pediatrics (208000000X)
Mailing address
751 S Bascom Ave, San Jose, CA, 95128
NPI first listed
2006-12-06
NPI last updated
2007-09-12

This is when the NPI record was last certified, not a medical board exam.