Individual provider Active NPI

Ganesan Shobana, MD

  • Internal Medicine Physician
  • Cranberry TWP, PA
National Provider Identifier
1154437507
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD063092L Issued in PA
Practice address
3104 Unionville Rd
Suite 180
Cranberry TWP, PA 16066-3415
Phone
(724) 772-2664
NPI assigned
Aug 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD063092L PA Primary

Addresses

Primary practice location

3104 Unionville Rd
Suite 180
Cranberry TWP, PA 16066-3415

Mailing address

3104 Unionville Rd
Suite 180
Cranberry TWP, PA 16066-3415
Phone (724) 772-2664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050512000543 PA Practitioner - Internal Medicine 9638110349 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medicine Inc Internal Medicine CurrentSince Mar 1, 2012 Accepting new patients
Upmc Community Medcine Inc CurrentSince Mar 1, 2012 Accepting new patients
Upmc Community Medicine, Inc Internal Medicine Current Accepting new patients
Golani Medical Associates PC Internal Medicine Past Accepting new patients

Locations

3104 Unionville Rd
Ste 180
Cranberry Twp, PA 16066
Phone (724) 772-2664

875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

Organizations & group practices 4

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196899200000",
    "number": "1154437507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 UNIONVILLE RD",
            "address_2": "SUITE 180",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160663415",
            "telephone_number": "724-772-2664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 UNIONVILLE RD",
            "address_2": "SUITE 180",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160663415",
            "telephone_number": "724-772-2664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOBANA",
        "first_name": "GANESAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD063092L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranberry TWP, PA

Sources for this page

Verify at the official NPI Registry.