Individual provider Active NPI

Jagadeesh Rudrappa Ganji, M.D. FACC

  • Cardiovascular Disease Physician
  • Greensboro, NC
National Provider Identifier
1306942578
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
200100363 Issued in NC
Practice address
1126 N Church St Ste 300
Greensboro, NC 27401-1037
Phone
(336) 938-0800
Fax
(336) 938-0755
NPI assigned
Sep 15, 2006
Last updated
Oct 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 200100363 NC Primary
Interventional Cardiology Physician 207RI0011X 200100363 NC

Addresses

Primary practice location

1126 N Church St Ste 300
Greensboro, NC 27401-1037

Mailing address

PO Box 745040
Atlanta, GA 30374-5040

Other identifiers 2

IdentifierTypeStateIssuer
1288JOtherNCBCBS
7779237OtherAETNA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jganji4211@direct.conehealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20040916000961 NC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Other (Physician) 7315914488 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Moses H Cone Memorial Hospital Operating CorporationGroup PAC ID 6204744600, shared by 11 NPIs, 724 clinicians

Practice addresses (Care Compare)

1126 N Church St
Suite 300
Greensboro, NC 27401-1037
Phone (336) 938-0800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting17
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Moses H. Cone Memorial Hospital Operating Corporation Current Accepting new patients
Carolinaeast Physicians Cardiovascular Disease Current Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation Cardiovascular Disease CurrentSince Jan 1, 2003 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation Current Accepting new patients
Carolinaeast Physicians CurrentSince Aug 2, 2010 Accepting new patients
Carolinaeast Physicians CurrentSince Aug 2, 2010 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Jan 1, 2003 Accepting new patients
Eagle Physicians and Associates, P.a. Cardiovascular Disease CurrentSince Jan 7, 2024 Accepting new patients
Piedmont Cardiovascular, P.a. Cardiovascular Disease CurrentSince Aug 1, 2011 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation Past Accepting new patients

Locations

1002 N Church St
Ste 301
Greensboro, NC 27401
Phone (336) 272-6161

1126 N Church St
Ste 101
Greensboro, NC 27401
Phone (336) 275-0919

1126 N Church St
Ste 300
Greensboro, NC 27401
Phone (336) 547-1700

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

1910 N Church St
Ste A
Greensboro, NC 27405
Phone (336) 676-4388

2400 W Friendly Ave
Greensboro, NC 27403
Phone (336) 832-1100

3200 Northline Ave
Ste 250
Greensboro, NC 27408
Phone (336) 273-7900

509 N Elam Ave
Fl 3
Greensboro, NC 27403
Phone (336) 832-1970

532 Webb Blvd
Havelock, NC 28532
Phone (252) 447-7088

1001 Newman Rd
New Bern, NC 28562
Phone (252) 635-6777

2000 Neuse Blvd
New Bern, NC 28560
Phone (252) 633-8104

Organizations & group practices 10

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1306942578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 745040",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303745040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 N CHURCH ST STE 300",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011037",
            "telephone_number": "336-938-0800",
            "fax_number": "336-938-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANJI",
        "first_name": "JAGADEESH",
        "middle_name": "RUDRAPPA",
        "credential": "M.D. FACC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "200100363",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NC",
            "license": "200100363",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1288J",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7779237",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jganji4211@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "Cone Health Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1126 N Church St Ste 300",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274011037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.