Individual provider Active NPI

Suraj J Panjwani

  • Surgery Physician
  • Austin, TX
National Provider Identifier
1710419171
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
W1474 Issued in TX
Practice address
11851 Jollyville Rd Ste 104
Austin, TX 78759-2350
Phone
(512) 257-2425
Fax
(512) 257-2426
NPI assigned
Apr 3, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X W1474 TX Primary

Addresses

Primary practice location

11851 Jollyville Rd Ste 104
Austin, TX 78759-2350

Mailing address

5 Monfort PL
Syosset, NY 11791-2120
Phone (484) 925-3452

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, 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
I20240801001735 CA Practitioner - General Surgery 2769721844 Reassigns benefits to 1 organization
I20260126002104 TX Practitioner - General Surgery 2769721844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sashidhar V. Ganta MD PAGroup PAC ID 0749294973, 3 clinicians

Practice addresses (Care Compare)

11851 Jollyville Rd
Suite 104
Austin, TX 78759-2350
Phone (512) 257-2425

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.04 of 100Reported as group
Quality
78.62
Promoting interoperability
100
Improvement activities
40
Cost
75.31

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
W1474TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Partners Single Specialty CurrentSince Jul 22, 2024 Accepting new patients
Sashidhar V. Ganta MD PA Single Specialty CurrentSince Nov 27, 2025 Accepting new patients

Locations

45 E River Park Pl W
Ste 104
Fresno, CA 93720
Phone (559) 320-0550

205 E River Park Cir
Ste 460
Fresno, CA 93720
Phone (559) 261-4500

805 W Acequia Ave
Ste 2D
Visalia, CA 93291
Phone (559) 622-8687

11851 Jollyville Rd
Ste 104
Austin, TX 78759
Phone (512) 257-2425

7201 Menchaca Rd
Ste B1
Austin, TX 78745
Phone (512) 257-2425

7201 Menchaca Rd
Ste 100A
Austin, TX 78745

Interoperability endpoints

  • Direct secure messaging: suraj.panjwani@xdr.hhchealthdirect.org

Organizations & group practices 2

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 1

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": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1710419171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MONFORT PL",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117912120",
            "telephone_number": "484-925-3452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11851 JOLLYVILLE RD STE 104",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787592350",
            "telephone_number": "512-257-2425",
            "fax_number": "512-257-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANJWANI",
        "first_name": "SURAJ",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-03",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "W1474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.