Individual provider Active NPI

Rajiv Jeyakumar Ganesan, MD

  • Family Medicine Physician
  • Laurel, MD
National Provider Identifier
1588058044
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0098206 Issued in MD
Practice address
8355 Cherry Lane
Laurel, MD 20707
Phone
(301) 725-4341
Fax
(301) 317-9070
NPI assigned
Mar 23, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D0098206 MD Primary

Addresses

Primary practice location

8355 Cherry Lane
Laurel, MD 20707

Mailing address

8355 Cherry Lane
Laurel, MD 20707
Phone (301) 725-4341

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181112000952 NV Practitioner - Family Practice 3779890645 Reassigns benefits to 1 organization
I20240812003577 DC Practitioner - Family Practice 3779890645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loma Linda University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8355 Cherry LN
Laurel, MD 20707-4829
Phone (301) 725-4341

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18053NVMDPharmacist
D0098206MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unlv Medicine CurrentSince Aug 13, 2018 Accepting new patients
Jhansi R Ganesan, MD PC Family Medicine CurrentSince Sep 1, 2024 Accepting new patients
Unlv Medicine Current Accepting new patients
Unlv Medicine CurrentSince Aug 13, 2018 Accepting new patients

Locations

8355 Cherry Ln
Laurel, MD 20707
Phone (301) 725-4341

2410 Fire Mesa St
Ste 180
Las Vegas, NV 89128
Phone (702) 202-2700

1524 Pinto Ln
Fl 2
Las Vegas, NV 89106
Phone (702) 671-2236

1707 W Charleston Blvd
Ste 110
Las Vegas, NV 89102
Phone (702) 671-2300

Organizations & group practices 4

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": "1427068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1588058044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8355 CHERRY LANE",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "20707",
            "telephone_number": "301-725-4341",
            "fax_number": "301-317-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8355 CHERRY LANE",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "20707",
            "telephone_number": "301-725-4341",
            "fax_number": "301-317-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANESAN",
        "first_name": "RAJIV",
        "middle_name": "JEYAKUMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-23",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0098206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

Verify at the official NPI Registry.