2026 NPPES data Nephrology Physician NPI 1154587897 MBBS
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MAMATHA GANDHI, MBBS

Nephrology Physician in BIRMINGHAM, Alabama. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
2K
Medicare Part D claims · 327 beneficiaries · Nephrology Physician avg: 1K
MIPS score
8.8787/100
▼ 74 pts below national avg 83.1 · [object Object]
Industry payments
$402.12
18 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: MAMATHA GANDHI, MBBS is a Nephrology Physician ([object Object]) practicing in BIRMINGHAM, Alabama with a Medicare Part D prescribing footprint of 2K claims across 327 beneficiaries . Their CMS MIPS Final Score of 8.8787/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $402.12 across 18 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: MAMATHA GANDHI, MBBS reported a CMS MIPS final score of 8.8787 out of 100, below the 83.1 national average, and filed 2,181 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

MAMATHA GANDHI, MBBS practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

MAMATHA GANDHI, MBBS at a glance

Below national average

NPI registry status

Active

Issued 08/01/2008

NPI 1154587897

Primary specialty

Nephrology Physician

Mid-sized

10,534 US NPIs in this specialty

Medicare Part D claims

2,181 50% vs specialty avg

2023 prescription claims

Specialty avg: 1,454

MIPS final score

8.8787/100 74.2213% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in Alabama

How Nephrology Physician compares to other specialties among Alabama providers

Alabama providers

Nephrology Physician share within Alabama

1. Nephrology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Nephrology Physician share within Alabama

Medicare quality performance — MIPS

MAMATHA GANDHI, MBBS's 2023 MIPS final score plotted against the Nephrology Physician national average

Below national average
MIPS Final Score
8.8787/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nephrology Physician) — 8.8787/100 vs national avg 83.1

0%100%National avg83%8.9%
MIPS final score (Nephrology Physician) — 8.8787/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

MAMATHA GANDHI, MBBS is a Nephrology Physician provider practicing in BIRMINGHAM, Alabama, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MBBS. NPI: 1154587897. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

MAMATHA GANDHI, MBBS appears in the CMS NPPES registry as a Nephrology Physician provider holding MBBS credentials at 619 19TH ST S, BIRMINGHAM, AL, 35233, with a listed phone of (205) 934-4011. NPI 1154587897 was issued on 08/01/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GANDHI most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 2,181 prescription claims written by this provider, covering 327 Medicare beneficiaries and totaling roughly $459K in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 8.8787/100 for the 2023 performance year (Quality 0, Cost 29.5957), compared with the national average of 83.1.

Nephrology Physician is a mid-sized specialty nationwide, with 10,534 enrolled providers across 55 states and an average of 1,454 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

619 19TH ST S
BIRMINGHAM, AL 35233

Provider Details

NPI 1154587897
Specialty Nephrology Physician
Credentials MBBS
Gender Female
NPI Issued 08/01/2008

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

8.8787
Final Score
Avg: 83.1
0
Quality
29.5957
Cost

Reporting: Individual

Hospital and facility affiliations

Facilities where MAMATHA GANDHI, MBBS bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC
BIRMINGHAM, AL

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for MAMATHA GANDHI, MBBS. Source: openpaymentsdata.cms.gov.

Total received

$402

Largest payer

Bayer Healthcare Pharmaceuticals Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

2,181
Total Claims
$459K
Total Drug Cost
327
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,821
Total Day Supply
142,044
Generic Drug Cost
$36K
Antibiotic Claims
49

Patient Demographics

Average Patient Age
72.1 years
Avg HCC Risk Score
3.26
Gender Split
59% female / 41% male
Age Distribution
<65: 49, 65-74: 134, 75-84: 117, 85+: 27

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Farxiga
Dapagliflozin Propanediol
291
Allopurinol
273
Losartan Potassium
175
Furosemide
153
Lisinopril
101
Calcitriol
100
Hydralazine Hcl
96
Carvedilol
93
Jardiance
Empagliflozin
52
Amlodipine Besylate
44

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Nephrology Physician Overview

How MAMATHA GANDHI, MBBS fits within the Nephrology Physician landscape nationally.

10,534
Nephrology Physician Providers in US
55
States with Nephrology Physician
1,454
Avg Claims per Provider

MAMATHA GANDHI, MBBS's 2,181 claims are above the specialty average of 1,454.

Nearby Nephrology Physician Providers in Alabama

Other clinicians with the same primary specialty enrolled in Alabama, drawn from the same CMS NPPES roster as GANDHI.

Compare Nephrology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MAMATHA GANDHI, MBBS's specialty?
MAMATHA GANDHI, MBBS specializes in Nephrology Physician and practices in BIRMINGHAM, Alabama. Credentials: MBBS.
How much does MAMATHA GANDHI, MBBS prescribe under Medicare Part D?
In 2023, MAMATHA GANDHI, MBBS wrote 2,181 Medicare Part D claims totaling $459K in drug costs for 327 beneficiaries.
What is MAMATHA GANDHI, MBBS's Medicare quality score?
MAMATHA GANDHI, MBBS has a CMS MIPS Final Score of 8.8787/100 (Quality: 0, Cost: 29.5957). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MAMATHA GANDHI, MBBS located?
MAMATHA GANDHI, MBBS is located at 619 19TH ST S, BIRMINGHAM, AL, 35233. Phone: (205) 934-4011.
What is MAMATHA GANDHI, MBBS's NPI number?
MAMATHA GANDHI, MBBS's National Provider Identifier (NPI) is 1154587897, issued on 08/01/2008.
How many Nephrology Physician providers are there in the US?
There are 10,534 Nephrology Physician providers across 55 states in the US. The average Nephrology Physician provider writes 1,454 Medicare Part D claims per year.
What drugs does MAMATHA GANDHI, MBBS prescribe most often?
Based on 2023 Medicare Part D data, MAMATHA GANDHI, MBBS's most frequently prescribed drugs include Farxiga, Allopurinol, Losartan Potassium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MAMATHA GANDHI, MBBS accept Medicare?
MAMATHA GANDHI, MBBS appears in CMS Medicare data with 2,181 Part D claims and 327 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MAMATHA GANDHI, MBBS's credentials?
MAMATHA GANDHI, MBBS's NPI is 1154587897 with credentials MBBS. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology