Individual provider Active NPI

Nihar Ganju, MD

  • Obstetrics & Gynecology Physician
  • Miami, FL
National Provider Identifier
1124364575
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME165791 Issued in FL
Practice address
7400 NW 13TH Ave Unit B
Miami, FL 33147-6402
Phone
(786) 693-2820
NPI assigned
Dec 12, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD043537 DC
Obstetrics & Gynecology Physician 207V00000X MD043537 MD
Obstetrics & Gynecology Physician 207V00000X ME165791 FL Primary

Addresses

Primary practice location

7400 NW 13TH Ave Unit B
Miami, FL 33147-6402

Mailing address

7400 NW 13TH Ave Unit B
Miami, FL 33147-6402
Phone (786) 693-2820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211105001092 MT Practitioner - Obstetrics/Gynecology 1456669183 Reassigns benefits to 1 organization
I20240703002226 FL Practitioner - Obstetrics/Gynecology 1456669183 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD043537MDMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SCL Health Medical Group-Butte LLC CurrentSince Nov 15, 2021 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince May 8, 2024 Accepting new patients
SCL Health Medical Group-Butte LLC CurrentSince Nov 15, 2021 Accepting new patients
Maryland Physicians Edge LLC Obstetrics & Gynecology CurrentSince Sep 1, 2016 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince May 8, 2024 Accepting new patients
Maryland Physicians Edge LLC CurrentSince Sep 1, 2016 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology Current Accepting new patients

Locations

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

9715 Medical Center Dr
Ste 530
Rockville, MD 20850
Phone (240) 464-6642

1400 Forest Glen Rd
Ste 500
Silver Spring, MD 20910
Phone (301) 453-5970

400 S Clark St
Butte, MT 59701
Phone (406) 495-7260

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1355270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1124364575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 NW 13TH AVE UNIT B",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331476402",
            "telephone_number": "786-693-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 NW 13TH AVE UNIT B",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331476402",
            "telephone_number": "786-693-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANJU",
        "first_name": "NIHAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-12",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "DC",
            "license": "MD043537",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "MD043537",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME165791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.