Individual provider Active NPI

Veena Sankappanavar Gangasani, MD

  • Pediatrics Physician
  • Fremont, CA
National Provider Identifier
1942306568
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
C206082 Issued in CA
Practice address
2299 Mowry Ave Ste 2a
Fremont, CA 94538-1638
Phone
(510) 362-7503
NPI assigned
Sep 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X C206082 CA Primary
Pediatrics Physician 208000000X 229829 NY

Addresses

Primary practice location

2299 Mowry Ave Ste 2a
Fremont, CA 94538-1638

Mailing address

2299 Mowry Ave Ste 2a
Fremont, CA 94538-1638
Phone (510) 362-7503

Other practice location 1

60 Merritt Blvd
Fishkill, NY 12524-2990
Phone (845) 231-5600

Other identifiers 1

IdentifierTypeStateIssuer
02962283MedicaidNY

Other names 1

  • Veena Hanamantagouda Sankappanavar Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20110714000466 NY Practitioner - Pediatric Medicine 2365610516 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
229829NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care, P.C. CurrentSince Aug 12, 2011 Accepting new patients
Optum Medical Care, P.C. CurrentSince Aug 12, 2011 Accepting new patients
Mount Kisco Medical Group Past Accepting new patients

Locations

60 Merritt Blvd
Fishkill, NY 12524
Phone (845) 440-1280

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192

Philadelphia, PA 19195

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: vgangasani143634@direct.optum.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1942306568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2299 MOWRY AVE STE 2A",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381638",
            "telephone_number": "510-362-7503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2299 MOWRY AVE STE 2A",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381638",
            "telephone_number": "510-362-7503"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Merritt Blvd",
            "address_purpose": "LOCATION",
            "city": "Fishkill",
            "state": "NY",
            "postal_code": "125242990",
            "country_code": "US",
            "telephone_number": "845-231-5600",
            "fax_number": "845-231-5489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANGASANI",
        "first_name": "VEENA",
        "middle_name": "SANKAPPANAVAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "C206082",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "229829",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02962283",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VEENA",
            "last_name": "SANKAPPANAVAR",
            "middle_name": "HANAMANTAGOUDA",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.