DR. HIMABALA GHANTA
NPI 1356553168
Colon & Rectal Surgery in Englewood, NJ

Active since May 04, 2007PECOS EnrolledAccepts Medicare Assignment
200 ENGLE ST STE 14, ENGLEWOOD, NJ 07631(201) 567-7615(201) 567-8033 Get Directions Write a Review

NPPES record last updated: February 27, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Himabala Ghanta NPPES

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

DR. HIMABALA GHANTA (NPI 1356553168) is an individual colon & rectal surgery provider in Englewood, New Jersey, licensed in New Jersey (25MA10009900) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Holy Name Medical Center, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1356553168
Entity TypeIndividualFemale
Primary Taxonomy208C00000X
Provider Legal NameDR. HIMABALA GHANTA
Location Address200 ENGLE ST STE 14Englewood, NJ 07631-2417
Mailing Address3 University Plz Ste 205Hackensack, NJ 07601-6208 · (201) 833-3599 · Fax (201) 227-6207
Fax(201) 567-8033
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMay 4, 2007
Last NPPES UpdateFebruary 27, 2025
NPPES CertifiedFebruary 27, 2025
NPI 1356553168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License Licensed in NJ · 25MA10009900
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
200 ENGLE ST STE 14, Englewood, NJ 07631

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. Himabala Ghanta 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 ID6002963220
PECOS Enrollment IDI20240820001900
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.

Hospital Affiliations CMS Care Compare

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

Holy Name Medical Center

Acute Care Hospitals · Teaneck, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310008
Location718 Teaneck RdTeaneck, NJ 07666 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07631 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

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 Himabala Ghanta's NPI number?

The NPI number for Himabala Ghanta is 1356553168. It was assigned to this individual provider in the NPPES registry on May 4, 2007.

Where is Himabala Ghanta located?

Himabala Ghanta practices at 200 Engle St Ste 14, Englewood, NJ 07631. The listed phone number is (201) 567-7615.

What is Himabala Ghanta's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Himabala Ghanta enrolled in Medicare?

Yes. Himabala Ghanta 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.

Is Himabala Ghanta affiliated with any hospitals?

According to CMS data, Himabala Ghanta is affiliated with Holy Name Medical Center.

When was this NPI record last updated?

The NPPES record for Himabala Ghanta was last updated on February 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.