2026 NPPES data Internal Medicine Physician NPI 1215356191 M.D.
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RAHUL GANDHI, M.D.

Internal Medicine Physician in WASHINGTON, District of Columbia. 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 · 279 beneficiaries · Internal Medicine Physician avg: 3K
MIPS score
80.1797/100
▼ 3 pts below national avg 83.1 · [object Object]
What the federal data reveals: RAHUL GANDHI, M.D. is a Internal Medicine Physician ([object Object]) practicing in WASHINGTON, District of Columbia with a Medicare Part D prescribing footprint of 2K claims across 279 beneficiaries . Their CMS MIPS Final Score of 80.1797/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: RAHUL GANDHI, M.D. reported a CMS MIPS final score of 80.1797 out of 100, below the 83.1 national average, and filed 1,578 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)

RAHUL GANDHI, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

RAHUL GANDHI, M.D. at a glance

Near national average

NPI registry status

Active

Issued 04/08/2014

NPI 1215356191

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

1,578 42% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

80.1797/100 2.9202999999999975% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in District of Columbia

How Internal Medicine Physician compares to other specialties among District of Columbia providers

District of Columbia providers

Internal Medicine Physician share within District of Columbia

1. Internal Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Internal Medicine Physician share within District of Columbia

Medicare quality performance — MIPS

RAHUL GANDHI, M.D.'s 2023 MIPS final score plotted against the Internal Medicine Physician national average

Near national average
MIPS Final Score
80.1797/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) — 80.1797/100 vs national avg 83.1

0%100%National avg83%80.2%
MIPS final score (Internal Medicine Physician) — 80.1797/100 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).

RAHUL GANDHI, M.D. is a Internal Medicine Physician provider practicing in WASHINGTON, District of Columbia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1215356191. 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.

RAHUL GANDHI, M.D. appears in the CMS NPPES registry as a Internal Medicine Physician provider holding M.D. credentials at 5215 LOUGHBORO RD NW STE 530, WASHINGTON, DC, 20016, with a listed phone of (202) 895-0050. NPI 1215356191 was issued on 04/08/2014. 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 1,578 prescription claims written by this provider, covering 279 Medicare beneficiaries and totaling roughly $91K in drug spend, with an opioid prescribing rate of 1.1%. 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 80.1797/100 for the 2023 performance year (Quality 76.6904, Cost 53.4937), compared with the national average of 83.1.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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

5215 LOUGHBORO RD NW STE 530
WASHINGTON, DC 20016

Provider Details

NPI 1215356191
Specialty Internal Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 04/08/2014

CMS Quality Score (MIPS)

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

80.1797
Final Score
Avg: 83.1
76.6904
Quality
53.4937
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where RAHUL GANDHI, M.D. 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.

PRIMARY CARE AT FOXHALL
WASHINGTON, DC
SUBURBAN/NRH MEDICAL REHABILITATION INC
BETHESDA, MD

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

Medicare Part D Prescribing Data

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

1,578
Total Claims
$91K
Total Drug Cost
279
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,109
Total Day Supply
121,287
Generic Drug Cost
$36K
Opioid Claims
17 (1.1% rate)
Antibiotic Claims
38

Patient Demographics

Average Patient Age
75.1 years
Avg HCC Risk Score
1.00
Gender Split
48% female / 52% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Atorvastatin Calcium
170
Amlodipine Besylate
88
Rosuvastatin Calcium
86
Levothyroxine Sodium
61
Losartan Potassium
59
Metformin Hcl
54
Zolpidem Tartrate
51
Tamsulosin Hcl
45
Simvastatin
41
Alprazolam
32

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

Internal Medicine Physician Overview

How RAHUL GANDHI, M.D. fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

RAHUL GANDHI, M.D.'s 1,578 claims are below the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in District of Columbia

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

Compare Internal Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is RAHUL GANDHI, M.D.'s specialty?
RAHUL GANDHI, M.D. specializes in Internal Medicine Physician and practices in WASHINGTON, District of Columbia. Credentials: M.D..
How much does RAHUL GANDHI, M.D. prescribe under Medicare Part D?
In 2023, RAHUL GANDHI, M.D. wrote 1,578 Medicare Part D claims totaling $91K in drug costs for 279 beneficiaries.
What is RAHUL GANDHI, M.D.'s Medicare quality score?
RAHUL GANDHI, M.D. has a CMS MIPS Final Score of 80.1797/100 (Quality: 76.6904, Cost: 53.4937). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RAHUL GANDHI, M.D. located?
RAHUL GANDHI, M.D. is located at 5215 LOUGHBORO RD NW STE 530, WASHINGTON, DC, 20016. Phone: (202) 895-0050.
What is RAHUL GANDHI, M.D.'s NPI number?
RAHUL GANDHI, M.D.'s National Provider Identifier (NPI) is 1215356191, issued on 04/08/2014.
Does RAHUL GANDHI, M.D. prescribe opioids?
Yes, RAHUL GANDHI, M.D. had 17 opioid claims in 2023 with an opioid prescribing rate of 1.1%.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does RAHUL GANDHI, M.D. prescribe most often?
Based on 2023 Medicare Part D data, RAHUL GANDHI, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Rosuvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RAHUL GANDHI, M.D. accept Medicare?
RAHUL GANDHI, M.D. appears in CMS Medicare data with 1,578 Part D claims and 279 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RAHUL GANDHI, M.D.'s credentials?
RAHUL GANDHI, M.D.'s NPI is 1215356191 with credentials M.D.. 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