NPIMap

Individual provider Active NPI

Vishnu Ganta, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Charlottesville, VA
National Provider Identifier
1134413651
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
0101288376 Issued in VA
Practice address
500 Martha Jefferson Dr
Charlottesville, VA 22911-4668
Phone
(434) 654-7955
Fax
(434) 654-7944
NPI assigned
Jun 1, 2011
Last updated
Mar 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 0101288376 VA Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD446742 PA

Addresses

Primary practice location

500 Martha Jefferson Dr
Charlottesville, VA 22911-4668

Mailing address

115 Gleneagle
Cortland, OH 44410-8729
Phone (615) 525-6167

Other identifiers 1

IdentifierTypeStateIssuer
1134413651MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, VA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20121221000352 PA Practitioner - Pathology 0345493334 Reassigns benefits to 4 organizations
I20260226001680 VA Practitioner - Pathology 0345493334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dubois Regional Medical CenterGroup PAC ID 5890689715, 424 clinicians
Charlottesville Pathology Associates PLCGroup PAC ID 4082694708, 3 clinicians

Practice addresses (Care Compare)

100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 371-2200

500 Martha Jefferson Dr
Charlottesville, VA 22911-4668
Phone (434) 654-7188

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD446742PAMDAnatomic Pathology & Clinical Pathology Physician
0101288376VAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dubois Regional Medical Center CurrentSince Jun 18, 2022 Accepting new patients
Pathology Associates of Central Pennsylvania PC Anatomic Pathology & Clinical Pathology CurrentSince Mar 1, 2021 Accepting new patients
Meadville Clinical Pathologists, Inc Anatomic Pathology & Clinical Pathology CurrentSince Sep 12, 2012 Accepting new patients
Advanced Diagnostic Pathology Associates, LTD Anatomic Pathology & Clinical Pathology CurrentSince Aug 1, 2016 Accepting new patients
Dubois Regional Medical Center Anatomic Pathology & Clinical Pathology CurrentSince Jun 18, 2022 Accepting new patients
Charlottesville Pathology Associates PLC Anatomic Pathology & Clinical Pathology CurrentSince Feb 26, 2026 Accepting new patients

Locations

5700 Southwyck Blvd
Toledo, OH 43614

361 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 249-1211

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

100 S 2nd St
Ste 301
Harrisburg, PA 17101
Phone (717) 782-2113

1 Nolte Dr
Kittanning, PA 16201
Phone (724) 543-8109

25 Heckel Rd
Mc Kees Rocks, PA 15136
Phone (412) 777-6161

751 Liberty St
Meadville, PA 16335
Phone (814) 333-5081

1301 Carlisle St
Natrona Hts, PA 15065
Phone (724) 224-5100

500 Martha Jefferson Dr
Charlottesvle, VA 22911
Phone (434) 654-7000

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 43

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1134413651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 GLENEAGLE",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "444108729",
            "telephone_number": "615-525-6167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MARTHA JEFFERSON DR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229114668",
            "telephone_number": "434-654-7955",
            "fax_number": "434-654-7944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANTA",
        "first_name": "VISHNU",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-01",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "VA",
            "license": "0101288376",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PA",
            "license": "MD446742",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134413651",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.