NPIMap

Individual provider Active NPI

Jessie Ganjoo, MD

  • Nephrology Physician
  • Meadville, PA
National Provider Identifier
1326015587
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD426877 Issued in PA
Practice address
765 Liberty St Ste 307a
Meadville, PA 16335-2566
Phone
(814) 333-3945
Fax
(814) 333-3947
NPI assigned
Mar 7, 2006
Last updated
Sep 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD426877 PA Primary

Addresses

Primary practice location

765 Liberty St Ste 307a
Meadville, PA 16335-2566

Mailing address

704 N Main St
Meadville, PA 16335-1955
Phone (724) 877-2214

Other practice location 1

765 Liberty St Ste 207A
Meadville, PA 16335-2568
Phone (814) 373-2156

Other identifiers 1

IdentifierTypeStateIssuer
101352181MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jganjoo50310@direct.acumenmd.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050908000661 PA Practitioner - NephrologyPractitioner - Internal Medicine 8921030784 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pittsburgh Kidney Care LLCGroup PAC ID 1658664578, 15 clinicians
Meadville Medical CenterGroup PAC ID 4284535790, shared by 21 NPIs, 139 clinicians

Practice addresses (Care Compare)

160 Wayland Smith Dr
Suite 102
Uniontown, PA 15401-7500
Phone (724) 438-3300

765 Liberty St
Suite 207a
Meadville, PA 16335-2568
Phone (814) 373-2156

765 Liberty St
Suite 307a
Meadville, PA 16335-2566
Phone (814) 333-3945

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Meadville Medical Center Nephrology CurrentSince Sep 19, 2025 Accepting new patients
Meadville Medical Center CurrentSince Sep 19, 2025 Accepting new patients
Pittsburgh Kidney Care LLC Nephrology CurrentSince Apr 1, 2023 Accepting new patients
Meadville Medical Center CurrentSince Sep 19, 2025 Accepting new patients
Meadville Medical Center Past Accepting new patients
Advanced Kidney Care Medical Associates, P.C. Nephrology PastSince Jul 17, 2021 Accepting new patients
Meadville Medical Center Past Accepting new patients

Locations

575 Coal Valley Rd
Ste 204
Clairton, PA 15025
Phone (412) 466-2220

1034 Grove St
Meadville, PA 16335
Phone (814) 333-5728

704 N Main St
Meadville, PA 16335
Phone (814) 373-2923

751 Liberty St
Meadville, PA 16335
Phone (814) 333-5081

765 Liberty St
Ste 207A
Meadville, PA 16335
Phone (814) 373-2156

765 Liberty St
Ste 307A
Meadville, PA 16335
Phone (814) 333-3945

765 Liberty St
Ste 309
Meadville, PA 16335
Phone (814) 333-3945

406 W Oak St
Titusville, PA 16354
Phone (814) 827-1851

160 Wayland Smith Dr
Ste 102
Uniontown, PA 15401
Phone (724) 437-7500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14360/brand/23/csg/1/fhir/r4
  • Direct secure messaging: jganjoo50310@direct.acumenmd.com

Organizations & group practices 7

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 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1326015587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 N MAIN ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163351955",
            "telephone_number": "724-877-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 LIBERTY ST STE 307A",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352566",
            "telephone_number": "814-333-3945",
            "fax_number": "814-333-3947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "765 Liberty St Ste 207A",
            "address_purpose": "LOCATION",
            "city": "Meadville",
            "state": "PA",
            "postal_code": "163352568",
            "country_code": "US",
            "telephone_number": "814-373-2156",
            "fax_number": "814-373-2159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANJOO",
        "first_name": "JESSIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD426877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101352181",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jganjoo50310@direct.acumenmd.com",
            "affiliation": "N",
            "address_1": "160 Wayland Smith Dr Ste 102",
            "city": "Uniontown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "154017500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

Verify at the official NPI Registry.