Active NPI
Karen Gayle Ganacias, M.D.
- Pediatrics Physician
- Severna Park, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- D86067
- Practice address
- 692A Ritchie Hwy
Severna Park, MD 21146-3971 - Phone
- (410) 721-2273
- NPI assigned
- Jun 28, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | D86067 | MD | Primary |
Addresses
Primary practice location
692A Ritchie Hwy
Severna Park, MD 21146-3971
Mailing address
1600 Granby St Apt 456
Norfolk, VA 23510-2661
Phone (913) 683-5707
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D86067 | MD | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| MGMC, LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| MGMC LLC | Current | Accepting new patients | |
| The Pediatric Group LLP | Pediatrics | Past | Accepting new patients |
| The Pediatric Group, LLP | Pediatrics | Past | Accepting new patients |
| Guh Kids Mobile Medical Clinic Program, LLC | Pediatrics | Past | Accepting new patients |
Locations
4200 Wisconsin Ave NW
Washington, DC 20016
Phone (202) 243-3400
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
4200 Wisconsin Ave NW
Ste 4
Washington, DC 20016
Phone (202) 243-3400
4200 Wisconsin Ave NW
Ste 200
Washington, DC 20016
Phone (267) 825-2184
3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203
25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106
Organizations & group practices 8
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.
-
- General Practice Physician
- Washington, DC
- NPI 1891797148
-
- General Practice Physician
- White Plains, MD
- NPI 1407559081
-
- Critical Care Medicine (Internal Medicine) Physician
- Washington, DC
- NPI 1205562816
-
- Psychiatry Physician
- Washington, DC
- NPI 1316949654
-
- Pediatrics Physician
- Severna Park, MD
- NPI 1235942079
-
- Pediatrics Physician
- Davidsonville, MD
- NPI 1598779886
-
- Pediatrics Physician
- Washington, DC
- NPI 1205844032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538006400000",
"number": "1174834865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 GRANBY ST APT 456",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235102661",
"telephone_number": "913-683-5707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "692A RITCHIE HWY",
"city": "SEVERNA PARK",
"state": "MD",
"postal_code": "211463971",
"telephone_number": "410-721-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANACIAS",
"first_name": "KAREN",
"middle_name": "GAYLE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-28",
"last_updated": "2018-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D86067",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Severna Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.