Individual provider Active NPI

Selva Ganesh, M.D.

  • Specialist
  • Boynton Beach, FL
National Provider Identifier
1356498323
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0025890 Issued in FL
Practice address
211 E Boynton Beach Blvd
Boynton Beach, FL 33435-3839
Phone
(561) 732-3200
Fax
(561) 732-6849
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME0025890 FL Primary

Addresses

Primary practice location

211 E Boynton Beach Blvd
Boynton Beach, FL 33435-3839

Mailing address

211 E Boynton Beach Blvd
Boynton Beach, FL 33435-3839
Phone (561) 732-3200

Other identifiers 1

IdentifierTypeStateIssuer
055845100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20110623000376 FL Practitioner - Obstetrics/Gynecology 3072791953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1970
Medicare assignment
May accept Medicare assignment
Group practices
Integrated Womens Health LLCGroup PAC ID 5597020792, 5 clinicians

Practice addresses (Care Compare)

211 E Boynton Beach Blvd
Boynton Beach, FL 33435-3839
Phone (561) 732-3200

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25890FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Womens Health LLC CurrentSince Feb 19, 2018 Accepting new patients
Florida Woman Care, LLC Past Accepting new patients

Locations

7051 Dr Phillips Blvd
Ste 5
Orlando, FL 32819
Phone (407) 363-2000

Organizations & group practices 2

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312848000000",
    "number": "1356498323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E BOYNTON BEACH BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334353839",
            "telephone_number": "561-732-3200",
            "fax_number": "561-732-6849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E BOYNTON BEACH BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334353839",
            "telephone_number": "561-732-3200",
            "fax_number": "561-732-6849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANESH",
        "first_name": "SELVA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2011-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0025890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055845100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.