Active NPI
Ganesh Sivarajan, MD
- Urology Physician
- Surprise, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 51438
- Practice address
- 14674 W Mountain View Blvd Ste 210
Surprise, AZ 85374-2708 - Phone
- (623) 546-1400
- NPI assigned
- Apr 14, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 51438 | AZ | Primary |
Addresses
Primary practice location
14674 W Mountain View Blvd Ste 210
Surprise, AZ 85374-2708
Mailing address
22230 N 55TH St
Phoenix, AZ 85054-7157
Phone (630) 567-3238
Other practice location 1
10503 W Thunderbird Blvd Ste 317
Sun City, AZ 85351-3049
Phone (623) 546-1400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Loyola University of Chicago, Stritch School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10503 W Thunderbird Blvd
Suite 317
Sun City, AZ 85351-3049
Phone (623) 546-1400
10510 N 92ND St
Scottsdale, AZ 85258-4566
14200 W Celebrate Life Way
Goodyear, AZ 85338-3007
Phone (623) 207-3000
14674 W Mountain View Blvd
Suite 210
Surprise, AZ 85374-2708
Phone (623) 546-1400
19636 N 27TH Ave
Suite 201
Phoenix, AZ 85027-4015
Phone (623) 516-4400
2601 E Roosevelt St
Phoenix, AZ 85008-4973
Phone (602) 344-5011
Hospital & facility affiliations
- At Home Healthcare
- Banner del E. Webb Medical Center
- City of Hope Cancer Center Phoenix
- Banner Boswell Medical Center
- Honorhealth Deer Valley Medical Center
- Wickenburg Community Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 93 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51438 | AZ | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| District Medical Group, Inc | Urology | Current | Accepting new patients |
| District Medical Group, Inc | Current | Accepting new patients | |
| City of Hope Medical Group of Arizona LLC | Current | Accepting new patients | |
| Minimally Invasive and Robotic Urology Obs LLC | Current | Accepting new patients | |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Arizona Center for Hematology and Oncology PLC | Urology | Current | Accepting new patients |
| Arizona Center for Hematology and Oncology, PLC | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| Honorhealth Ambulatory | Urology | Current | Accepting new patients |
Locations
20325 N 51st Ave
Ste 102
Glendale, AZ 85308
Phone (602) 253-4271
14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000
9151 W Thunderbird Rd
Ste 104
Peoria, AZ 85381
Phone (623) 242-6697
14155 N 83rd Ave
Ste 127
Peoria, AZ 85381
Phone (623) 773-2873
2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015
3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520
2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043
9150 W Indian School Rd
Ste 118
Phoenix, AZ 85037
Phone (623) 247-5700
2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298
10460 N 92nd St
Ste 101
Scottsdale, AZ 85258
Phone (480) 278-8300
10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250
10503 W Thunderbird Blvd
Ste 317
Sun City, AZ 85351
Phone (623) 546-1400
14674 W Mountain View Blvd
Ste 210
Surprise, AZ 85374
Phone (623) 546-1400
6897 Paysphere Cir
Chicago, IL 60674
Phone (480) 586-7542
Interoperability endpoints
- gsivarajan145479@cityofhope.direct-ci.com
- gsivarajan275781@direct.valleywisehealth.org
Organizations & group practices 10
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.
-
- Hematology & Oncology Physician
- Scottsdale, AZ
- NPI 1841243722
Urology
-
- Medical Oncology Physician
- Goodyear, AZ
- NPI 1609026806
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1336472448
-
- Hematology & Oncology Physician
- Scottsdale, AZ
- NPI 1407050917
-
- Ambulatory Surgical Clinic/Center
- Glendale, AZ
- NPI 1093593923
-
- Surgery Physician
- Peoria, AZ
- NPI 1083007165
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1144624339
-
- Acute Care Nurse Practitioner
- Scottsdale, AZ
- NPI 1730336470
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sun City, AZ
- NPI 1952560914
-
- General Acute Care Hospital
- Sun City West, AZ
- NPI 1588823553
-
- Critical Access Hospital
- Wickenburg, AZ
- NPI 1841282852
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1528169125
-
- Home Health Agency
- Peoria, AZ
- NPI 1992111645
-
- General Acute Care Hospital
- Goodyear, AZ
- NPI 1508029422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705276800000",
"number": "1629394754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22230 N 55TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850547157",
"telephone_number": "630-567-3238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14674 W MOUNTAIN VIEW BLVD STE 210",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853742708",
"telephone_number": "623-546-1400"
}
],
"practiceLocations": [
{
"address_1": "10503 W Thunderbird Blvd Ste 317",
"address_purpose": "LOCATION",
"city": "Sun City",
"state": "AZ",
"postal_code": "853513049",
"country_code": "US",
"telephone_number": "623-546-1400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIVARAJAN",
"first_name": "GANESH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-14",
"last_updated": "2024-01-15",
"certification_date": "2024-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "AZ",
"license": "51438",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.