Mahamuni Ganesan, M.D.,

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35-034118 Issued in OH

Practice address

23 W Perry St
Tiffin, OH 44883-2243

Phone

(419) 448-4171

Fax

(419) 448-5551

NPI assigned

Nov 9, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

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.

• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Mercy Health - Tiffin Hospital LLC

  • Cardiovascular Disease Physician
  • Tiffin, OH
  • NPI 1215951645

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1447320981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 W PERRY ST",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448832243",
            "telephone_number": "419-448-4171",
            "fax_number": "419-448-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 W PERRY ST",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448832243",
            "telephone_number": "419-448-4171",
            "fax_number": "419-448-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANESAN",
        "first_name": "MAHAMUNI",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-034118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "0006237",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0314163",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP.NO.",
            "identifier": "31-1020375-00",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO STATE MEDICAL BOARD",
            "identifier": "35-034118",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan Leann Fultz
• Future Horizons of Tiffin LLC
• Brianna Gaietto, COTA/L
• Cassandra Lynn Gaietto, M.A. CCC-SLP
• Brandon James Gallimore, DAT, AT, ATC
• Gardner Chiropractic Office, Inc.
• David Gardner
• Seth Edward Gardner, D.C.
• Krishnaiah C Garlapati, M.D.
• Andrew James Gase, M.D.

• Internal Medicine Physician in Tiffin, OH
• Providers in Tiffin, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.