Active NPI
Abhrajit Ganguly
- Student in an Organized Health Care Education/Training Program
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 35.128361
- Practice address
- 11100 Euclid Ave
University Hospitals Case Medical Center
Cleveland, OH 44106 - Phone
- (773) 524-7629
- NPI assigned
- Jul 16, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 18424 | FL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 35.128361 | OH | Primary |
Addresses
Primary practice location
11100 Euclid Ave
University Hospitals Case Medical Center
Cleveland, OH 44106
Mailing address
11100 Euclid Ave
University Hospitals Case Medical Center
Cleveland, OH 44106
Phone (773) 524-7629
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18424 | FL | MD | Student in an Organized Health Care Education/Training Program |
| 35.128361 | OH | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Board of Regents of the University of Oklahoma - Ou Physicians | Current | Accepting new patients | |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Board of Regents of the University of Oklahoma - Ou Physicians | Current | Accepting new patients | |
| Ou Medicine Inc. | Past | Accepting new patients |
Locations
825 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-4864
1200 Everett Dr
Oklahoma City, OK 73104
Phone (405) 271-5125
900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230
Interoperability endpoints
- aganguly29819@ouhealth.direct-ci.net
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Oklahoma City, OK
- NPI 1801869250
-
dba Ou Health Partners
- Multi-Specialty Clinic/Center
- Oklahoma City, OK
- NPI 1528642642
-
- Multi-Specialty Clinic/Center
- Edmond, OK
- NPI 1124646971
-
dba OUHP Orthotics & Prosthetic
- Prosthetic/Orthotic Supplier
- Oklahoma City, OK
- NPI 1447834460
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1649794157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469404800000",
"number": "1841631983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11100 EUCLID AVE",
"address_2": "UNIVERSITY HOSPITALS CASE MEDICAL CENTER",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "44106",
"telephone_number": "773-524-7629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11100 EUCLID AVE",
"address_2": "UNIVERSITY HOSPITALS CASE MEDICAL CENTER",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "44106",
"telephone_number": "773-524-7629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANGULY",
"first_name": "ABHRAJIT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-16",
"last_updated": "2016-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "18424",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OH",
"license": "35.128361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; 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.