Individual provider Active NPI

Allan Sebastian Ganesh, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Abilene, TX
National Provider Identifier
1669647376
Registry record updated Sep 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1862 Issued in TX
Practice address
6200 Regional PLZ
Suite# 1450
Abilene, TX 79606-5250
Phone
(325) 480-1177
NPI assigned
Apr 23, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO3274 FL
Foot & Ankle Surgery Podiatrist 213ES0103X 1862 TX Primary

Addresses

Primary practice location

6200 Regional PLZ
Suite# 1450
Abilene, TX 79606-5250

Mailing address

834 Swift Water Dr
Abilene, TX 79602-8170
Phone (267) 259-1786

Other identifiers 3

IdentifierTypeStateIssuer
8AW296OtherTXBLUE CROSS BLUE SHIELD PROVIDER #
P00677666OtherTXRAIL ROAD MEDICARE GROUP MEMBER PTAN
195625201MedicaidTX

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080801000030 TX Practitioner - Podiatry 8820162332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6200 Regional Plaza
Suite 1450
Abilene, TX 79606-5259

6200 Regional PLZ
Suite 1450
Abilene, TX 79606-5259
Phone (325) 480-1177

Hospital & facility affiliations

  • Hendrick Medical Center Hospital, Abilene, TX, CCN 450229
  • Encompass Health Rehabilitation Hospital of Abilen Inpatient rehabilitation facility, Abilene, TX, CCN 673039

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue84
Removal of nail tissue2429
Removal or shaving of skin growth546

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO3274FLMDFoot & Ankle Surgery Podiatrist
1862TXMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Allan Ganesh DPM Foot & Ankle Surgery CurrentSince Oct 21, 2010 Accepting new patients

Locations

6200 Regional Plz
Ste 1450
Abilene, TX 79606
Phone (325) 795-9288

Organizations & group practices 1

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 2

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": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252627200000",
    "number": "1669647376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 SWIFT WATER DR",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796028170",
            "telephone_number": "267-259-1786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 REGIONAL PLZ",
            "address_2": "SUITE# 1450",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065250",
            "telephone_number": "325-480-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANESH",
        "first_name": "ALLAN",
        "middle_name": "SEBASTIAN",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-23",
        "last_updated": "2009-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3274",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD PROVIDER #",
            "identifier": "8AW296",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE GROUP MEMBER PTAN",
            "identifier": "P00677666",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "195625201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.