Individual provider Active NPI

Sashidhar V. Ganta, M.D.

  • Surgery Physician
  • Austin, TX
National Provider Identifier
1821060807
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
M2325 Issued in TX
Practice address
11851 Jollyville Rd Ste 4
Austin, TX 78759-2350
Phone
(512) 952-0341
NPI assigned
Feb 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X M2325 TX Primary

Addresses

Primary practice location

11851 Jollyville Rd Ste 4
Austin, TX 78759-2350

Mailing address

PO Box 200185
Austin, TX 78720-0185
Phone (512) 244-6452

Other identifiers 2

IdentifierTypeStateIssuer
178759001MedicaidTX
178758201MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060126000871 TX Practitioner - General Surgery 5294629218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sashidhar V. Ganta MD PAGroup PAC ID 0749294973, 3 clinicians

Practice addresses (Care Compare)

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

1335 E Whitestone Blvd
V104
Cedar Park, TX 78613-7598
Phone (512) 257-2425

7201 Menchaca Rd
Suite B 1
Austin, TX 78745-5283
Phone (512) 257-2425

Hospital & facility affiliations

  • Ascension Seton Cedar Park Hospital, Cedar Park, TX, CCN 670043

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sashidhar V. Ganta MD PA Surgery CurrentSince Jan 1, 2006 Accepting new patients

Locations

3407 Wells Branch Pkwy
Ste 625
Austin, TX 78728
Phone (512) 244-6452

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

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

1335 E Whitestone Blvd
#V104
Cedar Park, TX 78613
Phone (512) 257-2425

1335 E Whitestone Blvd
#104
Cedar Park, TX 78613

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 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": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1821060807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 200185",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787200185",
            "telephone_number": "512-244-6452",
            "fax_number": "512-244-6582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11851 JOLLYVILLE RD STE 4",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787592350",
            "telephone_number": "512-952-0341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANTA",
        "first_name": "SASHIDHAR",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "M2325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178759001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178758201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.