Deepa Ganeshan, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

R3514 Issued in TX

Practice address

12398 FM 423 Ste 600
Frisco, TX 75033-0158

Phone

(214) 494-4622

NPI assigned

Jul 10, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DFJHDD/Endpoint/DFJHDD

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.

• Little Elm Frisco Children'S Clinic

  • Pediatrics Physician
  • Frisco, TX
  • NPI 1083911622
  NPD

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1316101272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12398 FM 423 STE 600",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750330158",
            "telephone_number": "214-494-4622",
            "fax_number": "214-494-4609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12398 FM 423 STE 600",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750330158",
            "telephone_number": "214-494-4622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANESHAN",
        "first_name": "DEEPA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-10",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ME",
            "license": "017942",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NM",
            "license": "2002-0360",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "R3514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201041812",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "406890001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "433096999",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Elizabeth Gammill, OTR/L
• Neelay Ramesh Gandhi, M.D.
• Donisha Gandy
• Kelara Nooraee Gandy, DDS
• Sara Ganeian
• Carlos Julian Gaona, MD
• Yasmin Garada
• Alma Alejandra Garay Romero
• Javier Garcia Vazquez
• Carlos J Garcia, MD

• Pediatrics Physician in Frisco, TX
• Providers in Frisco, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.