DR. SUDHA GANNE MD
NPI 1376747618
Internal Medicine - Endocrinology, Diabetes & Metabolism in West Long Branch, NJ
About Dr. Sudha Ganne Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SUDHA GANNE MD (NPI 1376747618) is an individual endocrinology, diabetes & metabolism provider in West Long Branch, New Jersey, licensed in New Jersey (25MA07676300) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Riverview Medical Center, and is a graduate of State University Of New York Downstate Medical Center (2007).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
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
Dr. Sudha Ganne Md 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
3Medicare enrollment records show Sudha Ganne reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
West Long Branch, NJ 07764
- Reassigned Medicare billing, New Jersey enrollment
- 2 clinicians in this Medicare group
Elizabeth, NJ 07202
- Reassigned Medicare billing, New Jersey enrollment
- 1,894 clinicians in this Medicare group
West Orange, NJ 07052
- Reassigned Medicare billing, New Jersey enrollment
- 757 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 9
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 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Riverview Medical Center
Acute Care Hospitals · Red Bank, NJOcean Medical Center
Acute Care Hospitals · Brick, NJJersey Shore University Medical Center
Acute Care Hospitals · Neptune, NJMonmouth Medical Center
Acute Care Hospitals · Long Branch, NJCentrastate Medical Center
Acute Care Hospitals · Freehold, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07764 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.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 8
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
WEST LONG BRANCH, NJ 07764
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 Sudha Ganne's NPI number?
The NPI number for Sudha Ganne is 1376747618. It was assigned to this individual provider in the NPPES registry on June 12, 2007.
Where is Sudha Ganne located?
Sudha Ganne practices at 103 Parker Rd, West Long Branch, NJ 07764. The listed phone number is (732) 222-0307.
What is Sudha Ganne's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.
Is Sudha Ganne enrolled in Medicare?
Yes. Sudha Ganne 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 Sudha Ganne's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sudha Ganne reassigns Medicare benefits to 3 organizations: Prime Endocrinology, LLC (West Long Branch, NJ), Barnabas Health Medical Group PC (Elizabeth, NJ) and Barnabas Health Medical Group, PC (West Orange, NJ). 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 Sudha Ganne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sudha Ganne accept?
Health plans from Oscar Health list Sudha Ganne 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.
Is Sudha Ganne affiliated with any hospitals?
According to CMS data, Sudha Ganne is affiliated with Riverview Medical Center, Ocean Medical Center, Jersey Shore University Medical Center, Monmouth Medical Center and Centrastate Medical Center.
When was this NPI record last updated?
The NPPES record for Sudha Ganne was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.