1. Home
  2. Directory
  3. North Carolina
  4. Raleigh
  5. Social Worker
  6. NPI Profile

POOJA GANATRA
NPI 1154051514
Social Worker - Clinical in Raleigh, NC

Active since June 16, 2022PECOS Enrolled
10900 WORLD TRADE BLVD, RALEIGH, NC 27617(919) 237-1337(919) 237-1625 Get Directions Write a Review

NPPES record last updated: July 11, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Pooja Ganatra NPPES

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

POOJA GANATRA (NPI 1154051514) is an individual clinical provider in Raleigh, North Carolina and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154051514
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NamePOOJA GANATRA
Location Address10900 WORLD TRADE BLVDRaleigh, NC 27617-4202
Mailing Address10900 World Trade BlvdRaleigh, NC 27617-4202 · (919) 237-1337 · Fax (919) 237-1625
Phone(919) 237-1337
Fax(919) 237-1625
Sole ProprietorYes
Enumeration DateJune 16, 2022
Last NPPES UpdateJuly 11, 2022
NPPES CertifiedJuly 11, 2022
✔ NPI 1154051514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
10900 WORLD TRADE BLVD, Raleigh, NC 27617
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Oscar Health Plan of North Carolina, Inc.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pooja Ganatra 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.

Medicare Billing Reassignment

Medicare enrollment records show Pooja Ganatra reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Avance Care, PA
22 mi
Clinic/Center
400 ATTAIN ST STE 202
Fuquay Varina, NC 27526
  • Reassigned Medicare billing, North Carolina enrollment
  • 217 clinicians in this Medicare group
NPI 1487845020 (919) 655-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27617 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

AMANDA MALOY LCMHC
Counselor (Mental Health)
10900 WORLD TRADE BLVD
RALEIGH, NC 27617
Wake County (919) 237-1337
KELLY M SAUER LMFT
Marriage & Family Therapist
10900 WORLD TRADE BLVD
RALEIGH, NC 27617
Wake County (919) 237-1337

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 Pooja Ganatra's NPI number?

The NPI number for Pooja Ganatra is 1154051514. It was assigned to this individual provider in the NPPES registry on June 16, 2022.

Where is Pooja Ganatra located?

Pooja Ganatra practices at 10900 World Trade Blvd, Raleigh, NC 27617. The listed phone number is (919) 237-1337.

What is Pooja Ganatra's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Pooja Ganatra enrolled in Medicare?

Yes. Pooja Ganatra is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Pooja Ganatra's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pooja Ganatra reassigns Medicare benefits to Avance Care, PA (Fuquay Varina, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pooja Ganatra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pooja Ganatra accept?

Health plans from Cigna Healthcare and Oscar Health Plan of North Carolina, Inc list Pooja Ganatra as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pooja Ganatra was last updated on July 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.