Srinivas S Ganji, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

05634R Issued in LA

Practice address

209 Highland Park PLZ
Covington, LA 70433-7130

Phone

(985) 892-6291

Fax

(985) 892-8077

NPI assigned

Jul 18, 2006

Last updated

Jun 20, 2012By 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 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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

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.

• Srinivas S Ganji M.D. a Prof Medical Corp

  • Specialist
  • Covington, LA
  • NPI 1477880714
  Authorized official Same address or phone
• Gregory S. Ferriss, M.D., LLC

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • New Orleans, LA
  • NPI 1700079605
  NPD (past)
• Neuro Physiological Associates of Georgia, P.C.

  • Clinical Neurophysiology Physician
  • Covington, LA
  • NPI 1750531471
  NPD (past)
• Physicians Analytical Services, LLC

  • Clinical Neurophysiology Physician
  • Mandeville, LA
  • NPI 1932218609
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340150400000",
    "number": "1508885955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 HIGHLAND PARK PLZ",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337130",
            "telephone_number": "985-892-6291",
            "fax_number": "985-892-8077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 HIGHLAND PARK PLZ",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337130",
            "telephone_number": "985-892-6291",
            "fax_number": "985-892-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANJI",
        "first_name": "SRINIVAS",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2012-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "LA",
            "license": "05634R",
            "primary": true
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "LA",
            "license": "05634R",
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "LA",
            "license": "05634R",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1324353",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie H Galloway, APRN, FNP-C
• Brian J Galofaro, M.D.
• Natalie Michel Gambino, CCC-SLP
• Michele Lynn Gandolfo-Muller, ABA THERAPIST
• Jessica Goree Gandolfo, LPC
• Andrea M Garaudy, MD
• Jessica Lynn Garaudy, RDN
• Gloria Ines Garcia, NP
• Renee Gardebled
• Allison McGhan Gardner, FNP-C

• Neurology Physician in Covington, LA
• Providers in Covington, LA by specialty
• Neurology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.