GANESHA RAMANA KANDAVEL M.D.
NPI 1366533846
Ophthalmology in Encino, CA

Active since September 27, 2006PECOS EnrolledAccepts Medicare Assignment
88.74/100
CMS Quality Rating
5363 BALBOA BLVD, SUITE 545, ENCINO, CA 91316(818) 906-2929(818) 906-0567 Get Directions Write a Review

NPPES record last updated: July 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ganesha Ramana Kandavel M.d. NPPES

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

GANESHA RAMANA KANDAVEL M.D. (NPI 1366533846) is an individual ophthalmology provider in Encino, California, licensed in California (A81089) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, Davis School Of Medicine (2001).

NPPES Registry Identity

NPI1366533846
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameGANESHA RAMANA KANDAVELCredential: M.D.
Location Address5363 BALBOA BLVD, SUITE 545Encino, CA 91316-2805
Mailing Address5363 Balboa Blvd, Suite 545Encino, CA 91316-2805 · (818) 906-2929 · Fax (818) 906-0567
Fax(818) 906-0567
Sole ProprietorNo
Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 2001
Enumeration DateSeptember 27, 2006
Last NPPES UpdateJuly 20, 2023
NPPES CertifiedJuly 20, 2023
NPI 1366533846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in CA · A81089
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
5363 BALBOA BLVD, Encino, CA 91316

Other Names 1

Professional Name (2)Rom Kandavel M.d.

Other Identifiers 1

Medicaid00A810890CA

Accepted Insurance

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

Ganesha Ramana Kandavel 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.

PECOS PAC ID345285474
PECOS Enrollment IDI20050620001123
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.

Areas of Expertise CMS Part B claims 21

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.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
650 services645 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
625 services419 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
507 services392 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
487 services455 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
479 services475 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
450 services276 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91316 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

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.

88.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40
Cost62.48

Reported Quality Measures

Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery
100%118 patients5/55-star benchmark: 100%
Diabetes: Eye Exam
100%172 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%2,567 patients5/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
97%204 patients
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%153 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,537 patients
Patients totalRate: 0% · 1,537 patients
0%1,537 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Clinic/Center (Sleep Disorder Diagnostic)
5363 BALBOA BLVD
ENCINO, CA 91316
Internal Medicine
5363 BALBOA BLVD, STE 433
ENCINO, CA 91316
Pediatrics (Pediatric Gastroenterology)
5363 BALBOA BLVD, SUITE 540
ENCINO, CA 91316
Dentist (Endodontics)
5363 BALBOA BLVD, SUITE 534
ENCINO, CA 91316
Dentist (Endodontics)
5363 BALBOA BLVD, SUITE 534
ENCINO, CA 91316
Internal Medicine
5363 BALBOA BLVD, 542
ENCINO, CA 91316
Orthopaedic Surgery
5363 BALBOA BLVD, SUITE 445A
ENCINO, CA 91316
Ophthalmology
5363 BALBOA BLVD, 246
ENCINO, CA 91316

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 Ganesha Kandavel's NPI number?

The NPI number for Ganesha Kandavel is 1366533846. It was assigned to this individual provider in the NPPES registry on September 27, 2006. The provider is also known as Rom Kandavel M.D..

Where is Ganesha Kandavel located?

Ganesha Kandavel practices at 5363 Balboa Blvd Suite 545, Encino, CA 91316. The listed phone number is (818) 906-2929.

What is Ganesha Kandavel's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Ganesha Kandavel enrolled in Medicare?

Yes. Ganesha Kandavel 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.

What insurance does Ganesha Kandavel accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Providence Health Plan list Ganesha Kandavel 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 Ganesha Kandavel was last updated on July 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.