NPIMap

Individual provider Active NPI

Gunjal Garg, M.D.

  • Gynecologic Oncology Physician
  • Detroit, MI
National Provider Identifier
1851520704
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
4783-320 Issued in WI
Practice address
4727 Saint Antoine St
Ste 304
Detroit, MI 48201-1461
Phone
(313) 745-0499
Fax
(313) 833-8801
NPI assigned
Jul 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301090745 MI
Gynecologic Oncology Physician 207VX0201X 308037 NY
Gynecologic Oncology Physician 207VX0201X 4783-320 WI Primary

Addresses

Primary practice location

4727 Saint Antoine St
Ste 304
Detroit, MI 48201-1461

Mailing address

2306 Momentum PL
Chicago, IL 60689-0001
Phone (810) 720-5715

Other practice location 1

45 Reade Pl
Poughkeepsie, NY 12601-3947
Phone (845) 437-3152

Other practice location 2

1836 South Ave
LA Crosse, WI 54601-5429
Phone (608) 782-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, OR, NY, WI4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20200113000007 NC Practitioner - Obstetrics/Gynecology 1153477377
I20241108003607 OR Practitioner - Gynecological Oncology 1153477377 Reassigns benefits to 3 organizations
I20250822001936 NY Practitioner - Gynecological Oncology 1153477377 Reassigns benefits to 1 organization
I20260410003357 WI Practitioner - Gynecological Oncology 1153477377 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gynecological Oncology
Education
Washington University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1836 S Ave
La Crosse, WI 54601-5429
Phone (608) 783-7300

45 Reade PL
FL 3
Poughkeepsie, NY 12601-3947
Phone (845) 431-5699

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4783-320WIMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Monument Health Rapid City Hospital, Inc Current Accepting new patients
Nuvance Health Medical Practice PC Obstetrics & Gynecology CurrentSince Aug 18, 2025 Accepting new patients
Health Quest Medical Practice, PC CurrentSince Aug 18, 2025 Accepting new patients
Legacy Emanuel Hospital & Health Center Current Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Oct 22, 2024 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Oct 22, 2024 Accepting new patients
Legacy Emanuel Hospital & Health Center Obstetrics & Gynecology CurrentSince Oct 22, 2024 Accepting new patients
Legacy Clinics LLC CurrentSince Oct 23, 2024 Accepting new patients
Vidant Medical Group LLC CurrentSince Jan 1, 2020 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Oct 22, 2024 Accepting new patients
Gundersen Lutheran Medical Center Inc Past Accepting new patients
Hutzel Womens Health Specialists PastSince Jun 27, 2021 Accepting new patients

Locations

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

1 Columbia St
Ste 300
Poughkeepsie, NY 12601
Phone (845) 483-0100

45 Reade Pl
Fl 3
Poughkeepsie, NY 12601
Phone (845) 483-6920

45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001

45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

1200 NW 23rd Ave
Portland, OR 97210
Phone (503) 413-7074

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

1130 NW 22nd Ave
Ste 110
Portland, OR 97210
Phone (503) 413-3940

19260 SW 65th Ave
Ste 140
Tualatin, OR 97062
Phone (503) 413-8654

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23753/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-myrecord.cerner.com/r4/5c654365-4e23-4939-9491-d281db1c1688/

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 21

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1851520704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2306 MOMENTUM PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606890001",
            "telephone_number": "810-720-5715",
            "fax_number": "810-732-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4727 SAINT ANTOINE ST",
            "address_2": "STE 304",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482011461",
            "telephone_number": "313-745-0499",
            "fax_number": "313-833-8801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 Reade Pl",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "126013947",
            "country_code": "US",
            "telephone_number": "845-437-3152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1836 South Ave",
            "address_purpose": "LOCATION",
            "city": "LA Crosse",
            "state": "WI",
            "postal_code": "546015429",
            "country_code": "US",
            "telephone_number": "608-782-7300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARG",
        "first_name": "GUNJAL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-13",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301090745",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "NY",
            "license": "308037",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "WI",
            "license": "4783-320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.