Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SANDHYA GANESAN
NPI 1124822549
Student in an Organized Health Care Education/Training Program in Stony Brook, NY

Active since April 03, 2025PECOS Enrolled
101 NICOLLS RD, STONY BROOK, NY 11794(516) 721-7006 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 9, 2026, Apr 3, 2025 (2 updates tracked since 2025).

About Sandhya Ganesan NPPES

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

SANDHYA GANESAN (NPI 1124822549) is an individual student in an organized health care education/training program in Stony Brook, New York and active in the NPI registry since April 2025. The provider is enrolled in Medicare PECOS and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1124822549
Entity TypeIndividual
Primary Taxonomy390200000X
Provider Legal NameSANDHYA GANESAN
Location Address101 NICOLLS RDStony Brook, NY 11794-0001
Mailing Address174 Devonshire DrNew Hyde Park, NY 11040-3633 · (516) 721-7006
Sole ProprietorNo
Enumeration DateApril 3, 2025
Last NPPES UpdateJuly 9, 20262 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
NPI 1124822549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
101 NICOLLS RD, Stony Brook, NY 11794

Secondary Practice Location 1

Location 116 S Eutaw St Ste 500Baltimore, MD 21201-1619 · Phone (667) 214-2392

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Sandhya Ganesan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

Internal Medicine
101 NICOLLS RD
STONY BROOK, NY 11794
Internal Medicine (Gastroenterology)
101 NICOLLS RD
STONY BROOK, NY 11794
Social Worker (Clinical)
101 NICOLLS RD
STONY BROOK, NY 11794
Nurse Practitioner (Adult Health)
101 NICOLLS RD
STONY BROOK, NY 11794
Nurse Practitioner (Adult Health)
101 NICOLLS RD
STONY BROOK, NY 11794
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sandhya Ganesan's NPI number?

The NPI number for Sandhya Ganesan is 1124822549. It was assigned to this individual provider in the NPPES registry on April 3, 2025.

Where is Sandhya Ganesan located?

Sandhya Ganesan practices at 101 Nicolls Rd, Stony Brook, NY 11794. The listed phone number is (516) 721-7006.

What is Sandhya Ganesan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Sandhya Ganesan enrolled in Medicare?

Yes. Sandhya Ganesan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sandhya Ganesan was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.