Active NPI
Sanjana Gangane, DO
- Internal Medicine Physician
- Georgetown, TX
National Provider Identifier
1700574134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- W6629
- Practice address
- 4945 Williams Dr
Georgetown, TX 78633-2008 - Phone
- (512) 819-0500
- NPI assigned
- Apr 25, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | W6629 | TX | Primary |
Addresses
Primary practice location
4945 Williams Dr
Georgetown, TX 78633-2008
Mailing address
4945 Williams Dr
Georgetown, TX 78633-2008
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: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230707003666 | TX | Order and Referring Only - Internal Medicine | 4688033624 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10085229 | TX | MD | Student in an Organized Health Care Education/Training Program |
Interoperability endpoints
- sgangane876845@ahs.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782777600000",
"number": "1700574134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4945 WILLIAMS DR",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786332008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4945 WILLIAMS DR",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786332008",
"telephone_number": "512-819-0500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANGANE",
"first_name": "SANJANA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-25",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "W6629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Georgetown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.