NIRAJ GANJAWALA M.D.
NPI 1346772001
Family Medicine in Albuquerque, NM
About Niraj Ganjawala M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NIRAJ GANJAWALA M.D. (NPI 1346772001) is an individual family medicine provider in Albuquerque, New Mexico, licensed in Alabama (MD.41090) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Presbyterian Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Niraj Ganjawala 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.
Medicare Billing Reassignments
10Medicare enrollment records show Niraj Ganjawala reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Albuquerque, NM 87106
- Reassigned Medicare billing, New Mexico enrollment
- 2,331 clinicians in this Medicare group
Grants, NM 87020
- Reassigned Medicare billing, New Mexico enrollment
- 123 clinicians in this Medicare group
Las Cruces, NM 88011
- Reassigned Medicare billing, New Mexico enrollment
- 238 clinicians in this Medicare group
Fountain Hills, AZ 85268
- Reassigned Medicare billing, Arizona enrollment
- 42 clinicians in this Medicare group
Fountain Hls, AZ 85268
- Reassigned Medicare billing, Arizona enrollment
- 32 clinicians in this Medicare group
Fort Mohave, AZ 86426
- Reassigned Medicare billing, New Mexico enrollment
- 88 clinicians in this Medicare group
Tuscaloosa, AL 35405
- Reassigned Medicare billing, Alabama enrollment
- 660 clinicians in this Medicare group
Cullman, AL 35058
- Reassigned Medicare billing, Alabama enrollment
- 125 clinicians in this Medicare group
Homewood, AL 35209
- Reassigned Medicare billing, Alabama enrollment
- 25 clinicians in this Medicare group
Scottsboro, AL 35768
- Reassigned Medicare billing, Alabama enrollment
- 95 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Presbyterian Hospital
Acute Care Hospitals · Albuquerque, NMCarlsbad Medical Center
Acute Care Hospitals · Carlsbad, NMCibola General Hospital
Critical Access Hospitals · Grants, NMPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 87131 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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 Niraj Ganjawala's NPI number?
The NPI number for Niraj Ganjawala is 1346772001. It was assigned to this individual provider in the NPPES registry on March 31, 2017.
Where is Niraj Ganjawala located?
Niraj Ganjawala practices at Msc Family Medicine 1 University Of New Mexico, Albuquerque, NM 87131. The listed phone number is (575) 517-0461.
What is Niraj Ganjawala's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Niraj Ganjawala enrolled in Medicare?
Yes. Niraj Ganjawala is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Niraj Ganjawala's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Niraj Ganjawala reassigns Medicare benefits to 10 organizations: Presbyterian Healthcare Services (Albuquerque, NM), Fedko Emergency Physicians New Mexico LLC (Grants, NM), Las Cruces Hb Medical Services LLC (Las Cruces, NM), Fhmc Clinic (Fountain Hills, AZ), Fhmc Operating PC (Fountain Hls, AZ) and 5 more organizations, listed in the Medicare section above. 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 Niraj Ganjawala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Niraj Ganjawala affiliated with any hospitals?
According to CMS data, Niraj Ganjawala is affiliated with Presbyterian Hospital, Carlsbad Medical Center and Cibola General Hospital.
When was this NPI record last updated?
The NPPES record for Niraj Ganjawala was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Niraj Ganjawala, M.D. · NPI 1346772001
Family Medicine physician in Albuquerque, New Mexico. Individual provider, active in the CMS NPPES registry since March 31, 2017.
## Identity
- **NPI:** 1346772001 (Entity type: Individual)
- **Enumerated:** March 31, 2017
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD.41090 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** MSC FAMILY MEDICINE, 1 UNIVERSITY OF NEW MEXICO, Albuquerque, NM 87131-0001
- **Phone:** (575) 517-0461
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 10 organizations under Medicare reassignment (form CMS-855R): Presbyterian Healthcare Services (NPI 1215913470, Albuquerque, NM); Fedko Emergency Physicians New Mexico LLC (NPI 1770047441, Grants, NM); Las Cruces Hb Medical Services LLC (NPI 1598446171, Las Cruces, NM); Fhmc Clinic (NPI 1043830623, Fountain Hills, AZ); Fhmc Operating PC (NPI 1295355881, Fountain Hls, AZ); and 5 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** September 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1346772001) · Data from the CMS NPPES public registry.