Active NPI
Tarun Ganguly, DO
- Family Medicine Physician
- Joint Base MDL, NJ
National Provider Identifier
1144259912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25
- Practice address
- 3458 Neely Rd
Joint Base MDL, NJ 08641-5312 - Phone
- (609) 754-9414
- NPI assigned
- Jul 2, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MB65193 | NJ | |
| Internal Medicine Physician | 207R00000X | MB65193 | NJ | |
| Family Medicine Physician | 207Q00000X | 25 | NJ | Primary |
Addresses
Primary practice location
3458 Neely Rd
Joint Base MDL, NJ 08641-5312
Mailing address
3458 Neely Rd
JB MDL, NJ 08641-5312
Phone (609) 754-9014
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8197105 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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
- Internal Medicine
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
9202 Elam Rd
Parkland Health
Dallas, TX 75217-4151
Phone (214) 266-1834
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.1 of 100
- Quality
- 88.97
- Promoting interoperability
- 79
- Improvement activities
- 40
- Cost
- 83.75
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25 | NJ | MD | Acupuncturist |
| MB65193 | NJ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dallas County Hospital District | Current | Accepting new patients | |
| Dallas County Hospital District | Family Medicine | Current | Accepting new patients |
| Dallas County Hospital District | Current | Accepting new patients |
Locations
9202 Elam Rd
Dallas, TX 75217
Phone (214) 266-1500
1800 N Britain Rd
Irving, TX 75061
Phone (214) 266-3000
Interoperability endpoints
- tganguly385869@direct.phhs.org
Organizations & group practices 3
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.
-
- Women's Health Nurse Practitioner
- Dallas, TX
- NPI 1558035188
-
- Women's Health Nurse Practitioner
- Dallas, TX
- NPI 1831198506
Hospital & facility affiliations 45
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Ambulatory Family Planning Facility
- Dallas, TX
- NPI 1144397324
Hospital
-
- Sleep Disorder Diagnostic Clinic/Center
- Dallas, TX
- NPI 1164042784
Hospital
-
- Internal Medicine Physician
- Grand Prairie, TX
- NPI 1194090001
Hospital
-
- Ambulatory Family Planning Facility
- Dallas, TX
- NPI 1235206418
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641945600000",
"number": "1144259912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3458 NEELY RD",
"city": "JB MDL",
"state": "NJ",
"postal_code": "086415312",
"telephone_number": "609-754-9014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3458 NEELY RD",
"city": "JOINT BASE MDL",
"state": "NJ",
"postal_code": "086415312",
"telephone_number": "609-754-9414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANGULY",
"first_name": "TARUN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-02",
"last_updated": "2022-01-12",
"certification_date": "2022-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NJ",
"license": "MB65193",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "MB65193",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "25",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8197105",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Joint Base MDL, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.