JHANSI R GANESAN, MD PC
NPI 1386191419
Pediatrics - Adolescent Medicine in Laurel, MD

Active since September 07, 2016CLIA 21D0858171 · Waiver
8355 CHERRY LN, LAUREL, MD 20707(301) 725-4341(301) 317-9070 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 9, 2024, May 14, 2024 (2 updates tracked since 2024).

About Jhansi R Ganesan, Md Pc NPPES

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

JHANSI R GANESAN, MD PC (NPI 1386191419) is a healthcare organization registered as an adolescent medicine in Laurel, Maryland and active in the NPI registry since September 2016. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Jhansi R Ganesan, President, as its authorized official.

NPPES Registry Identity

NPI1386191419
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameJHANSI R GANESAN, MD PC
Location Address8355 CHERRY LNLaurel, MD 20707-4829
Mailing Address8355 Cherry LaneLaurel, MD 20707 · (301) 725-4341 · Fax (301) 317-9070
Fax(301) 317-9070
Organization SubpartNo
Authorized OfficialJhansi R GanesanPresident · (301) 725-4341
Enumeration DateSeptember 7, 2016
Last NPPES UpdateJuly 9, 20242 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
✔ NPI 1386191419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Also ListedFamily MedicineTaxonomy 207Q00000X
8355 CHERRY LN, Laurel, MD 20707

Other Identifiers 1

Medicaid153661300MD

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jhansi R Ganesan, Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jhansi R Ganesan, MD PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1588058044
8355 CHERRY LANE
Laurel, MD 20707
(301) 725-4341
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D0858171

Jhansi R Ganesan · Laurel, MD
Active · expires Aug 31, 2028
CLIA Number21D0858171
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorJhansi R. Ganesan
Laboratory Phone(301) 725-4341
Laboratory LocationJhansi R Ganesan8355 Cherry Lane, Laurel, MD 20707
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Jhansi R Ganesan, MD PC's NPI number?

The NPI number for Jhansi R Ganesan, MD PC is 1386191419. It was assigned to this organization in the NPPES registry on September 7, 2016.

Where is Jhansi R Ganesan, MD PC located?

Jhansi R Ganesan, MD PC is located at 8355 Cherry Ln, Laurel, MD 20707. The listed phone number is (301) 725-4341.

What is Jhansi R Ganesan, MD PC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Jhansi R Ganesan, MD PC enrolled in Medicare?

Yes. Jhansi R Ganesan, MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jhansi R Ganesan, MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Jhansi R Ganesan, MD PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Jhansi R Ganesan, MD PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D0858171) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jhansi R Ganesan, MD PC was last updated on July 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.