Patricia Maria Ganja, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA 1391 Issued in NV

Practice address

5741 S Fort Apache Rd Ste 120
Las Vegas, NV 89148-5622

Phone

(702) 798-0111

Fax

(844) 247-3481

NPI assigned

Oct 31, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Palm Medical Group LLCGroup PAC ID 6204926298, 12 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.38 of 100Reported as group

Quality

79.19

Improvement activities

40

Cost

74.5

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ganja.patricia.010.0280027@snps.meditab.direct-ci.com

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.

• Palm Medical Group LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Las Vegas, NV
  • NPI 1023236668
  Medicare reassignment Care Compare group
• Palm Medical Group, Nakhle MD, PLLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Las Vegas, NV
  • NPI 1710394440
  NPD (past)

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

{
    "created_epoch": "1351641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1457605289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 S FORT APACHE RD STE 215-232",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891481719",
            "telephone_number": "702-281-8727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5741 S FORT APACHE RD STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485622",
            "telephone_number": "702-798-0111",
            "fax_number": "844-247-3481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANJA",
        "first_name": "PATRICIA",
        "middle_name": "MARIA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-31",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "PA 1391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mukhtar Ali Gani, M.D.
• Lauren Ganim, RDN
• Brittney Ganir
• Bryan Reynon Ganitano
• Caroline Ganja
• Sharokina June Ganja
• Michael Kelly Gann, PHD
• Joshua Gannon
• Michael Gannon, RN
• Brithany Gano, ATC

• Medical Physician Assistant in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Medical Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.