SRUJAN GANTA MD
NPI 1265071005
Thoracic Surgery (Cardiothoracic Vascular Surgery) in San Diego, CA

Q: What is Srujan Ganta's NPI number?

The NPI number for Srujan Ganta is 1265071005. It was assigned to this individual provider in the NPPES registry on December 26, 2019.

Q: What is Srujan Ganta's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Q: When was this NPI record last updated?

The NPPES record for Srujan Ganta was last updated on February 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since December 26, 2019PECOS Enrolled

3020 CHILDRENS WAY, SAN DIEGO, CA 92123(858) 966-8030 Get Directions Write a Review

NPPES record last updated: February 19, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 19, 2020, Dec 26, 2019 (2 updates tracked since 2019).

On this page

About Srujan Ganta Md NPPES

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

SRUJAN GANTA MD (NPI 1265071005) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in San Diego, California, licensed in California (A166273) and active in the NPI registry since December 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265071005

Entity TypeIndividualMale

Primary Taxonomy208G00000X

Provider Legal NameSRUJAN GANTACredential: MD

Location Address3020 CHILDRENS WAYSan Diego, CA 92123-4223

Mailing Address3020 Childrens Way # Mc5003San Diego, CA 92123-4223 · (858) 309-6300

Phone(858) 966-8030

Sole ProprietorNo

Enumeration DateDecember 26, 2019

Last NPPES UpdateFebruary 19, 20202 updates tracked since enumeration

✔ NPI 1265071005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

License✔ Licensed in CA · A166273

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

3020 CHILDRENS WAY, San Diego, CA 92123

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Srujan Ganta Md 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 Reassignments

Medicare enrollment records show Srujan Ganta reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rady Children's Hospital San Diego

Same address

Pediatrics

3020 CHILDRENS WAY
San Diego, CA 92123

Reassigned Medicare billing, California enrollment
562 clinicians in this Medicare group

NPI 1669617197 (858) 966-5911

Regents Of The University Of California

3.1 mi

Thoracic Surgery (Cardiothoracic Vascular Surgery)

200 W ARBOR DR
San Diego, CA 92103

Reassigned Medicare billing, California enrollment
37 clinicians in this Medicare group

NPI 1235232778 (800) 926-8273

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 92123 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

$184.71 typical visit price

range $62.10 – $184.71

Typical copayment $46.17 (range $15.52 – $46.17)

Most-billed visit code 99205

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

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 20

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

DR. NATALIE E. ELLINGTON MD

Pathology (Pediatric Pathology)

3020 CHILDRENS WAY
SAN DIEGO, CA 92123

San Diego County (858) 966-5944

SHANNA MICHAEL MILLER-NABAS RDN

Physician Assistant

3020 CHILDRENS WAY
SAN DIEGO, CA 92123

San Diego County (858) 576-1700

DR. ADRIANA HERRERA TREMOULET M.D.

Pediatrics (Pediatric Infectious Diseases)

3020 CHILDRENS WAY
SAN DIEGO, CA 92123

San Diego County (858) 966-7785

LORI MCCURDY M.S., CCC-SLP

Speech-Language Pathologist

3020 CHILDRENS WAY, MC5010
SAN DIEGO, CA 92123

San Diego County (858) 968-5838

MS. ANN M SUMIDA-JOHNSON M.A..

Audiologist

3020 CHILDRENS WAY, MC 5010
SAN DIEGO, CA 92123

San Diego County (858) 966-5838

RICHARD JOHN NEWTON M.D.

Pediatrics

3020 CHILDRENS WAY
SAN DIEGO, CA 92123

San Diego County (858) 966-8036

DR. SHAHFAR KHAN M.D.

Pediatrics (Pediatric Emergency Medicine)

3020 CHILDRENS WAY
SAN DIEGO, CA 92123

San Diego County (858) 966-8800

CARLY BETH WELCH CPNP-AC

Nurse Practitioner (Pediatrics)

3020 CHILDRENS WAY
SAN DIEGO, CA 92123

San Diego County (858) 966-8800

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 Srujan Ganta's NPI number?

The NPI number for Srujan Ganta is 1265071005. It was assigned to this individual provider in the NPPES registry on December 26, 2019.

Where is Srujan Ganta located?

Srujan Ganta practices at 3020 Childrens Way, San Diego, CA 92123. The listed phone number is (858) 966-8030.

What is Srujan Ganta's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Srujan Ganta enrolled in Medicare?

Yes. Srujan Ganta is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Srujan Ganta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Srujan Ganta reassigns Medicare benefits to 2 organizations: Rady Children's Hospital San Diego (San Diego, CA) and Regents Of The University Of California (San Diego, CA). Each 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 Srujan Ganta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Srujan Ganta was last updated on February 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.