Individual provider Active NPI

Rose B. Ganim, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Springfield, MA
National Provider Identifier
1851412217
Registry record updated Nov 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
233834 Issued in MA
Practice address
2 Medical Center Dr
Suite 205
Springfield, MA 01107-1619
Phone
(413) 794-8050
Fax
(413) 794-8054
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 233834 MA Primary

Addresses

Primary practice location

2 Medical Center Dr
Suite 205
Springfield, MA 01107-1619

Mailing address

280 Chestnut St
2ND FL
Springfield, MA 01199-1001
Phone (413) 794-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20070917000174 MA Practitioner - Thoracic Surgery 2062316284 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Washington University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baystate Medical Practices IncGroup PAC ID 5991602971, 1,350 clinicians

Practice addresses (Care Compare)

2 Medical Ctr Dr
Suite 512
Springfield, MA 01107-1273
Phone (413) 794-5550

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux15
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
233834MAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverbend Medical Group, Inc. CurrentSince Nov 7, 2021 Accepting new patients
Baystate Medical Practices, Inc CurrentSince Sep 1, 2007 Accepting new patients
Mercy Inpatient Medical Associates Inc. Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Apr 1, 2020 Accepting new patients
Riverbend Medical Group, Inc CurrentSince Nov 7, 2021 Accepting new patients
Baystate Medical Center Inc Past Accepting new patients

Locations

40 Wright St
Palmer, MA 01069
Phone (413) 284-5210

2 Medical Center Dr
Ste 512
Springfield, MA 01107
Phone (413) 732-2311

271 Carew St
Springfield, MA 01104
Phone (413) 748-9000

233 Carew St
#101
Springfield, MA 01104
Phone (413) 748-9212

280 Chestnut St
Fl 2
Springfield, MA 01199
Phone (413) 788-4385

759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233

299 Carew St
Ste 410
Springfield, MA 01104
Phone (413) 734-1883

2 Medical Center Dr
Ste 205
Springfield, MA 01107
Phone (413) 794-8050

3350 Main St
Springfield, MA 01199
Phone (413) 794-9338

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.

Hospital & facility affiliations 5

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479081600000",
    "number": "1851412217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 CHESTNUT ST",
            "address_2": "2ND FL",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011991001",
            "telephone_number": "413-794-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MEDICAL CENTER DR",
            "address_2": "SUITE 205",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071619",
            "telephone_number": "413-794-8050",
            "fax_number": "413-794-8054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANIM",
        "first_name": "ROSE",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2016-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MA",
            "license": "233834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.