Individual provider Active NPI

Prakash Rufus Ganesh, M.D.

  • Family Medicine Physician
  • Cleveland, OH
National Provider Identifier
1154680924
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.127085 Issued in OH
Practice address
Neighborhood Family Practice
3569 Ridge Road
Cleveland, OH 44102
Phone
(216) 281-0872
NPI assigned
May 14, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.127085 OH Primary
Public Health & General Preventive Medicine Physician 2083P0901X 35127085 OH

Addresses

Primary practice location

Neighborhood Family Practice
3569 Ridge Road
Cleveland, OH 44102

Mailing address

3569 Ridge Rd
Cleveland, OH 44102-5443
Phone (216) 281-0872

Other practice location 1

5550 Venture Dr
Parma, OH 44130-9315
Phone (216) 201-2001 ext. 1107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20191114003120 OH Practitioner - Family Practice 3072835958 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neighborhood Health Care IncorporatedGroup PAC ID 2668466012, 68 clinicians
County of CuyahogaGroup PAC ID 6305827528, 2 clinicians

Practice addresses (Care Compare)

3569 Ridge Rd
Cleveland, OH 44102-5443
Phone (216) 281-0872

5550 Venture Dr
Parma, OH 44130-9315
Phone 21620120011107

6412 Franklin Blvd
Cleveland, OH 44102-3153
Phone (216) 281-0872

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35127085OHMDPublic Health & General Preventive Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health Care Incorporated Current Accepting new patients
Neighborhood Health Care Incorporated CurrentSince Nov 1, 2019 Accepting new patients
The Metrohealth System Current Accepting new patients
Neighborhood Health Care Incorporated CurrentSince Nov 1, 2019 Accepting new patients
Neighborhood Health Care Incorporated Past Accepting new patients
Neighborhood Health Care Incorporated Past Accepting new patients
Neighborhood Health Care Incorporated Past Accepting new patients
Lutheran Hospital Past Accepting new patients
Neighborhood Health Care Incorporated Past Accepting new patients
Neighborhood Health Care Incorporated Past Accepting new patients
Neighborhood Health Care Incorporated Past Accepting new patients

Locations

4115 Bridge Ave
Ste 300
Cleveland, OH 44113
Phone (216) 237-6129

3569 Ridge Rd
Cleveland, OH 44102

6412 Franklin Blvd
Cleveland, OH 44102
Phone (216) 363-7733

2358 Professor Ave
Cleveland, OH 44113
Phone (216) 334-2800

3545 Ridge Rd
Ste 2
Cleveland, OH 44102
Phone (216) 961-6860

14625 Puritas Ave
Cleveland, OH 44135
Phone (216) 928-1950

11709 Lorain Ave
Cleveland, OH 44111
Phone (216) 367-1004

13027 Lorain Ave
Cleveland, OH 44111
Phone (216) 688-1046

11906 Madison Ave
Lakewood, OH 44107

Interoperability endpoints

  • Direct secure messaging: pganesh124147@direct.ochin.org
  • Direct secure messaging: pganesh105770@direct.metrohealth.org

Organizations & group practices 12

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": "1336953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1154680924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3569 RIDGE RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441025443",
            "telephone_number": "216-281-0872",
            "fax_number": "216-961-5429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NEIGHBORHOOD FAMILY PRACTICE",
            "address_2": "3569 RIDGE ROAD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44102",
            "telephone_number": "216-281-0872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5550 Venture Dr",
            "address_purpose": "LOCATION",
            "city": "Parma",
            "state": "OH",
            "postal_code": "441309315",
            "country_code": "US",
            "telephone_number": "216-201-2001 x1107",
            "fax_number": "216-676-1311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANESH",
        "first_name": "PRAKASH",
        "middle_name": "RUFUS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-14",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.127085",
            "primary": true
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "OH",
            "license": "35127085",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.