Active NPI
Anjana L Ganeshappa, M.D.
- Urology Physician
- Indianapolis, IN
National Provider Identifier
1891952479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- MD152844
- Practice address
- 535 Barnhill Dr
Ste 420
Indianapolis, IN 46202-5112 - Phone
- (317) 278-1979
- Fax
- (317) 278-1981
- NPI assigned
- May 21, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | MD152844 | OR | Primary |
Addresses
Primary practice location
535 Barnhill Dr
Ste 420
Indianapolis, IN 46202-5112
Mailing address
5870 Greenstone CT SE
Salem, OR 97306-6913
Phone (832) 452-8760
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD152844 | Other | OR | OREGON STATE MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286409600000",
"number": "1891952479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5870 GREENSTONE CT SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973066913",
"telephone_number": "832-452-8760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 BARNHILL DR",
"address_2": "STE 420",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462025112",
"telephone_number": "317-278-1979",
"fax_number": "317-278-1981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANESHAPPA",
"first_name": "ANJANA",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-21",
"last_updated": "2010-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "OR",
"license": "MD152844",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OREGON STATE MEDICAL LICENSE",
"identifier": "MD152844",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.