Individual provider Active NPI

Shyam Subramanya Ganti, M.D.

  • Pulmonary Disease Physician
  • Odessa, TX
National Provider Identifier
1649527094
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
52668 Issued in KY
Practice address
701 West 5TH Street
Department of Internal Medicine, Suite 2151
Odessa, TX 79763
Phone
(432) 335-2222
Fax
(432) 335-1815
NPI assigned
Aug 3, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301100882 MI
Pulmonary Disease Physician 207RP1001X W5340 TX
Pulmonary Disease Physician 207RP1001X TP281 KY
Pulmonary Disease Physician 207RP1001X 52668 KY Primary

Addresses

Primary practice location

701 West 5TH Street
Department of Internal Medicine, Suite 2151
Odessa, TX 79763

Mailing address

701 W 5TH St
Odessa, TX 79763-4206
Phone (432) 703-5340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TX2 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
I20190729002278 KY Practitioner - Pulmonary DiseasePractitioner - Nephrology 6103124474 Reassigns benefits to 1 organization
I20260514001961 TX Practitioner - Pulmonary Disease 6103124474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Appalachian Regional Healthcare IncGroup PAC ID 0840107835, 301 clinicians

Practice addresses (Care Compare)

3600 Cumberland Ave
Middlesboro, KY 40965-2614

3602 Cumberland Ave
Middlesboro, KY 40965-2614

3602 W Cumberland Ave
Middlesboro, KY 40965-2614

37 Ball Park Rd
Harlan, KY 40831-1701
Phone (606) 573-4520

Hospital & facility affiliations

  • Harlan Arh Hospital Hospital, Harlan, KY, CCN 180050
  • Middlesboro Arh Hospital Hospital, Middlesboro, KY, CCN 180020

Merit-based Incentive Payment System (MIPS)

Final score
82.15 of 100Reported as apm
Quality
47.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301100882MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Regional Healthcare, Inc CurrentSince Jul 1, 2019 Accepting new patients
Appalachian Regional Healthcare, Inc Current Accepting new patients
Texas Tech University Health Sciences Center Odessa Internal Medicine PastSince May 1, 2026 Accepting new patients
Appalachian Regional Healthcare, Inc. Past Accepting new patients

Locations

37 Ball Park Rd
Harlan, KY 40831
Phone (606) 263-3900

100 Airport Gardens Rd
Ste 311
Hazard, KY 41701
Phone (606) 439-6978

181 Roy Campbell Dr
Hazard, KY 41701
Phone (606) 439-1316

Interoperability endpoints

  • Direct secure messaging: shyamganti@arh.medalliesdirect.net

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.

Hospital & facility affiliations 4

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": "1343952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1649527094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W 5TH ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797634206",
            "telephone_number": "432-703-5340",
            "fax_number": "432-335-5297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 WEST 5TH STREET",
            "address_2": "DEPARTMENT OF INTERNAL MEDICINE, SUITE 2151",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "79763",
            "telephone_number": "432-335-2222",
            "fax_number": "432-335-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANTI",
        "first_name": "SHYAM",
        "middle_name": "SUBRAMANYA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-03",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301100882",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "W5340",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "KY",
            "license": "TP281",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "KY",
            "license": "52668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

Verify at the official NPI Registry.