Active NPI
Srinivasan Ganesan, MD
- Gastroenterology Physician
- Lorain, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 23950
- Practice address
- 5700, Cooper Foster Park Road
Lorain, OH 44053 - Phone
- (440) 204-7400
- NPI assigned
- Jun 12, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 23950 | WV | Primary |
Addresses
Primary practice location
5700, Cooper Foster Park Road
Lorain, OH 44053
Mailing address
3200 Maccorkle Ave SE
Charleston, WV 25304-1227
Phone (440) 204-7400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1102 Hospital Dr
Stockbridge, GA 30281-6381
Phone (770) 692-0100
4865 Bill Gardner Pkwy
Locust Grove, GA 30248-3644
Phone (770) 692-0100
Hospital & facility affiliations
- Piedmont Henry Hospital
- Northside Hospital
- Piedmont Fayette Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.95 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 69.82
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 76 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 97 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Providers LLC | Current | Accepting new patients | |
| Southern Gastroenterology Specialists, P.C | Current | Accepting new patients |
Locations
1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210
4865 Bill Gardner Pkwy
Locust Grove, GA 30248
Phone (770) 692-0100
745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785
6555 Professional Pl
Ste C
Riverdale, GA 30274
Phone (770) 692-0100
1102 Hospital Dr
Stockbridge, GA 30281
Phone (404) 641-3345
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GDFJAD
- srinivasan.ganesan@sgscolon.eclinicaldirectplus.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Locust Grove, GA
- NPI 1952405052
-
- Internal Medicine Physician
- Jasper, GA
- NPI 1548273592
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fayetteville, GA
- NPI 1528027240
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
-
- General Acute Care Hospital
- Stockbridge, GA
- NPI 1225034333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473638400000",
"number": "1124222526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 MACCORKLE AVE SE",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253041227",
"telephone_number": "440-204-7400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5700, COOPER FOSTER PARK ROAD",
"city": "LORAIN",
"state": "OH",
"postal_code": "44053",
"telephone_number": "440-204-7400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANESAN",
"first_name": "SRINIVASAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-12",
"last_updated": "2016-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "WV",
"license": "23950",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lorain, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.