Active NPI
Sri Nidhi Ganji, MD
- Pediatrics Physician
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2023-03528
- Practice address
- 10 Sunnybrook Rd
Raleigh, NC 27610-1808 - Phone
- (919) 212-7000
- NPI assigned
- Jul 2, 2013
- Last updated
- Jul 18, 2024
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2023-03528 | NC | Primary |
Addresses
Primary practice location
10 Sunnybrook Rd
Raleigh, NC 27610-1808
Mailing address
10 Sunnybrook Rd
Raleigh, NC 27610-1808
Phone (919) 212-7000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103322388 | Medicaid | PA | |
| 04817992 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, PA, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| General Physician, PC | Current | Accepting new patients | |
| Olean General Hospital | Pediatrics | Current | Accepting new patients |
| Olean General Hospital | Pediatrics | Current | Accepting new patients |
| Olean Medical Practice PLLC | Current | Accepting new patients | |
| County of Wake | Current | Accepting new patients | |
| Olean General Hospital | Current | Accepting new patients | |
| General Physician, PC | Current | Accepting new patients | |
| County of Wake | Current | Accepting new patients | |
| County of Wake | Current | Accepting new patients |
Locations
10 Sunnybrook Rd
Raleigh, NC 27610
Phone (919) 250-4570
908 Niagara Falls Blvd
Ste 208
North Tonawanda, NY 14120
Phone (716) 649-1613
2666 W State St
Olean, NY 14760
Phone (716) 701-1700
535 Main St
Olean, NY 14760
Phone (716) 372-0141
535 Main St
Ste 1
Olean, NY 14760
Phone (716) 372-0141
4039 Route 219
Ste 101
Salamanca, NY 14779
Phone (716) 945-0361
116 Interstate Pkwy
Ste 42
Bradford, PA 16701
Phone (814) 362-8390
200 Pleasant St
Bradford, PA 16701
Phone (814) 362-8293
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/6edd93a1-7391-4938-bcd9-ebe248fd573e/
- sriganji@healthsystemphysicianpc.medentdirect.com
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Wake County Human Services (MH DD Sa)
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Raleigh, NC
- NPI 1295761617
-
dba Wake County Health Dept
- State or Local Public Health Clinic/Center
- Raleigh, NC
- NPI 1801957576
-
dba Olean Medical Group
- Multi-Specialty Clinic/Center
- Olean, NY
- NPI 1679223366
-
dba Foothills Medical Group
- General Practice Physician
- Olean, NY
- NPI 1033499017
Pediatrics
-
dba Bradford Regional Medical Center
- Family Medicine Physician
- Bradford, PA
- NPI 1245502905
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721260800000",
"number": "1710327986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 SUNNYBROOK RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276101808",
"telephone_number": "919-212-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 SUNNYBROOK RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276101808",
"telephone_number": "919-212-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANJI",
"first_name": "SRI NIDHI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-02",
"last_updated": "2024-07-18",
"certification_date": "2024-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "2023-03528",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103322388",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04817992",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
- Ellen P Gander, RD, LDN, CEDRD-S
- Kaushal Dhingra Gandhi
- Haley Grace Gandsey, PNP
- Ganglani Raleigh PLLC (Adams & Cheek Dentistry)
- Ganglani Raven Ridge of Raleigh PLLC (Adams & Cheek Dentistry)
- Christina Helen Ganon, LCSW
- Alisa Gail Gant-Gibbs, LCSWA
- Angela Brawley Gantt, MD
- Wendy Wilson Gantt, LPC
- Kathryn Ganzel
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.