Individual provider Active NPI

Ashish Gangasani, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Tyler, TX
National Provider Identifier
1497952683
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
N2081 Issued in TX
Practice address
2608 McDonald Rd
Tyler, TX 75701-5934
Phone
(903) 595-5514
Fax
(903) 262-3715
NPI assigned
Jun 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X N2081 TX Primary

Addresses

Primary practice location

2608 McDonald Rd
Tyler, TX 75701-5934

Mailing address

2608 McDonald Rd
Tyler, TX 75701-5934
Phone (903) 595-5514

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20160510000466 TX Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8325199979 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Etmc Physician Group, Inc.Group PAC ID 4486915600, 375 clinicians

Practice addresses (Care Compare)

2608 McDonald Rd
Tyler, TX 75701-5934
Phone (903) 595-5514

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair81
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N2081TXMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Etmc Physician Group Inc. CurrentSince Mar 1, 2018 Accepting new patients
Etmc Physician Group Inc. Cardiovascular Disease CurrentSince Mar 1, 2018 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC CurrentSince Apr 1, 2017 Accepting new patients

Locations

115 Medical Cir
Ste 102
Athens, TX 75751
Phone (903) 676-5889

409 Cottage Rd
Carthage, TX 75633
Phone (903) 693-3841

3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800

18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

300 Wilson St
Henderson, TX 75652
Phone (903) 655-6536

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

2114 E Rusk St
Jacksonville, TX 75766
Phone (903) 284-6105

3150 Horizon Rd
Rockwall, TX 75032
Phone (469) 697-1000

1000 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-1068

11937 US Highway 271
Tyler, TX 75708
Phone (903) 877-3451

2401 Sse Loop 323
Tyler, TX 75701
Phone (903) 510-7212

2608 McDonald Rd
Tyler, TX 75701
Phone 903595551487262

Interoperability endpoints

  • Direct secure messaging: agangasani355171@ahs.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1497952683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2608 MCDONALD RD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757015934",
            "telephone_number": "903-595-5514",
            "fax_number": "903-262-3715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2608 MCDONALD RD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757015934",
            "telephone_number": "903-595-5514",
            "fax_number": "903-262-3715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANGASANI",
        "first_name": "ASHISH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "TX",
            "license": "N2081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.