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DR. AKSHAY GANJU M.D.
NPI 1083032056
General Practice in New York, NY

Active since April 07, 2014PECOS EnrolledAccepts Medicare AssignmentCLIA 33D0864737 · Certificate of Compliance
45 W 67TH ST, NEW YORK, NY 10023(212) 772-9222(212) 879-7235 Get Directions Write a Review

NPPES record last updated: July 10, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 10, 2023, May 10, 2017 (2 updates tracked since 2017).

About Dr. Akshay Ganju M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. AKSHAY GANJU M.D. (NPI 1083032056) is an individual general practice provider in New York, New York, licensed in New York (288709-1) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, holds a CLIA Certificate of Compliance certificate valid through February 14, 2027, and is affiliated with Montefiore New Rochelle Hospital.

NPPES Registry Identity

NPI1083032056
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. AKSHAY GANJUCredential: M.D.
Location Address45 W 67TH STNew York, NY 10023-6257
Mailing Address45 W 67th StNew York, NY 10023-6257
Phone(212) 772-9222
Fax(212) 879-7235
Sole ProprietorYes
Medical School CMSWashington University School Of MedicineGraduated 2014
Enumeration DateApril 7, 2014
Last NPPES UpdateJuly 10, 20232 updates tracked since enumeration
NPPES CertifiedJuly 10, 2023
✔ NPI 1083032056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in NY · 288709-1
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

45 W 67TH ST, New York, NY 10023
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Akshay Ganju M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860795770
PECOS Enrollment IDI20170619001085
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 33D0864737

Akshay Ganju MD PC · New York, NY
Active · expires Feb 14, 2027
CLIA Number33D0864737
Laboratory TypePhysician Office
Certificate Effective DateFebruary 15, 2025
Certificate Expiration DateFebruary 14, 2027
Laboratory DirectorAkshay Ganju
Laboratory Phone(212) 772-9222
Laboratory LocationAkshay Ganju MD PC45 West 67th Street, New York, NY 10023
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Montefiore New Rochelle Hospital

Acute Care Hospitals · New Rochelle, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330184
Location16 Guion PlaceNew Rochelle, NY 10802 · Westchester County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHLEEN ANNE VIOLA PT
Physical Therapist
45 W 67TH ST
NEW YORK, NY 10023
New York County (212) 842-0080

Frequently Asked Questions

What is Akshay Ganju's NPI number?

The NPI number assigned to this healthcare provider is 1083032056, enumerated as an "individual" on April 07, 2014.

Where is the provider located?

The provider is located at 45 W 67TH ST NEW YORK, NY 10023 and the phone number is (212) 772-9222.

What is the provider's specialty?

General Practice with taxonomy code 208D00000X.

Is Akshay Ganju affiliated with any hospitals?

Akshay Ganju is affiliated with: MONTEFIORE NEW ROCHELLE HOSPITAL.