Individual provider Active NPI

Rajan N Ganesh, MD

  • Cardiovascular Disease Physician
  • Warren, OH
National Provider Identifier
1730611096
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35.155876 Issued in OH
Practice address
627 Eastland Ave SE Ste 301
Warren, OH 44484-4501
Phone
(330) 841-4535
Fax
(330) 395-1721
NPI assigned
Mar 28, 2017
Last updated
Jun 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 97235 GA
Cardiovascular Disease Physician 207RC0000X 35.155876 OH Primary

Addresses

Primary practice location

627 Eastland Ave SE Ste 301
Warren, OH 44484-4501

Mailing address

627 Eastland Ave SE Ste 301
Warren, OH 44484-4501
Phone (330) 841-4535

Other practice location 1

1 Medical Center Dr
Lebanon, NH 03756-1000
Phone (603) 650-5000

Other practice location 2

1120 15th St
Augusta, GA 30912-1000
Phone (706) 721-8623

Other practice location 3

3400 Ministry Pkwy
Weston, WI 54476-5220
Phone (715) 393-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, WI, OH3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20240125003040 GA Practitioner - Internal Medicine 1355687674 Reassigns benefits to 2 organizations
I20251030002019 WI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac ElectrophysiologyPractitioner - Internal Medicine 1355687674 Reassigns benefits to 9 organizations
I20260623004180 OH Practitioner - Cardiovascular Disease (Cardiology) 1355687674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCHS Hospitals IncGroup PAC ID 5698071173, shared by 28 NPIs, 1,195 clinicians

Practice addresses (Care Compare)

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

3400 Ministry Pkwy
Weston, WI 54476-5220
Phone (715) 393-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
86564WIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC Current Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Nov 3, 2025 Accepting new patients
Au Medical Associates Inc CurrentSince Nov 13, 2023 Accepting new patients
MCHS Hospitals Inc Internal Medicine Current Accepting new patients
MCHS Hospitals Inc CurrentSince Nov 3, 2025 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Nov 3, 2025 Accepting new patients
Flambeau Hospital Inc CurrentSince Nov 3, 2025 Accepting new patients
MCHS Hospitals Inc CurrentSince Nov 3, 2025 Accepting new patients
MCHS Hospitals Inc CurrentSince Nov 3, 2025 Accepting new patients
Wellstar Medical Group, LLC CurrentSince May 1, 2024 Accepting new patients
Marshfield Clinic Inc CurrentSince Nov 3, 2025 Accepting new patients
Flambeau Hospital Inc CurrentSince Nov 3, 2025 Accepting new patients
Au Medical Associates Inc CurrentSince Nov 13, 2023 Accepting new patients
Memorial Hospital Inc CurrentSince Nov 3, 2025 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Nov 3, 2025 Accepting new patients
Memorial Hospital Inc CurrentSince Nov 3, 2025 Accepting new patients
Memorial Hospital Inc Past Accepting new patients

Locations

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

1120 15th St
#6000
Augusta, GA 30912
Phone (706) 721-3813

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

3400 Ministry Pkwy
Weston, WI 54476
Phone (715) 393-1000

Organizations & group practices 18

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.

View all 18

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": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1730611096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 EASTLAND AVE SE STE 301",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444844501",
            "telephone_number": "330-841-4535",
            "fax_number": "330-395-1721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 EASTLAND AVE SE STE 301",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444844501",
            "telephone_number": "330-841-4535",
            "fax_number": "330-395-1721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "NH",
            "postal_code": "037561000",
            "country_code": "US",
            "telephone_number": "603-650-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1120 15th St",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309121000",
            "country_code": "US",
            "telephone_number": "706-721-8623",
            "fax_number": "706-721-1459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 Ministry Pkwy",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "WI",
            "postal_code": "544765220",
            "country_code": "US",
            "telephone_number": "715-393-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANESH",
        "first_name": "RAJAN",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-28",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "97235",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35.155876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.