AARTHI GANESH MD
NPI 1386875854
Internal Medicine - Pulmonary Disease in Pittsburgh, PA

Q: What is Aarthi Ganesh's NPI number?

The NPI number for Aarthi Ganesh is 1386875854. It was assigned to this individual provider in the NPPES registry on August 2, 2009.

Q: What is Aarthi Ganesh's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Aarthi Ganesh was last updated on September 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since August 02, 2009PECOS EnrolledAccepts Medicare Assignment

93.78/100

CMS Quality Rating

490 E NORTH AVE STE 300, PITTSBURGH, PA 15212(412) 322-7202 Get Directions Write a Review

NPPES record last updated: September 16, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 16, 2021, May 9, 2017 (2 updates tracked since 2017).

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About Aarthi Ganesh Md NPPES

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

AARTHI GANESH MD (NPI 1386875854) is an individual pulmonary disease provider in Pittsburgh, Pennsylvania, licensed in West Virginia (26348) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS, is affiliated with Allegheny Valley Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1386875854

Entity TypeIndividualFemale

Primary Taxonomy207RP1001X

Provider Legal NameAARTHI GANESHCredential: MD

Location Address490 E NORTH AVE STE 300Pittsburgh, PA 15212-4771

Mailing Address58 16th StWheeling, WV 26003-3660 · (304) 234-1935

Phone(412) 322-7202

Sole ProprietorYes

Medical School CMSOtherGraduated 2007

Enumeration DateAugust 2, 2009

Last NPPES UpdateSeptember 16, 20212 updates tracked since enumeration

NPPES CertifiedSeptember 16, 2021

✔ NPI 1386875854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in WV · 26348

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 125056264 (IL)

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 26348 (WV)

490 E NORTH AVE STE 300, Pittsburgh, PA 15212

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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

Aarthi Ganesh 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.

PECOS PAC ID143534719

PECOS Enrollment IDI20210920002071

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.

Medicare Billing Reassignments

Medicare enrollment records show Aarthi Ganesh reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Allegheny Clinic

Same address

Dermatology

490 E NORTH AVE, SUITE 107
Pittsburgh, PA 15212

Reassigned Medicare billing, Pennsylvania enrollment
2,881 clinicians in this Medicare group

NPI 1235139817 (412) 359-3376

Texas Pulmonary & Critical Care Consultants, PA

1,099 mi

Pulmonary Disease

1201 FAIRMOUNT AVE
Fort Worth, TX 76104

Reassigned Medicare billing, Texas enrollment
52 clinicians in this Medicare group

NPI 1427127968 (817) 335-5288

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 15

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

117 services61 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

92 services40 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

79 services70 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

54 services54 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

41 services30 patients

Exam of lung airways with diagnostic or therapeutic procedure on growths using an endoscope and ultrasound 31654

This procedure involves using a specialized instrument, called an endoscope, to examine the lung airways. An ultrasound is also used to get a clearer image of any growths. If necessary, the doctor can perform procedures to diagnose or treat these growths.

34 services34 patients

Computer-assisted image-guided navigation of lung airways using an endoscope 31627

This procedure involves the use of a special camera, called an endoscope, and computer technology to create real-time images of your lung airways. This helps doctors navigate through your lungs accurately, aiding in diagnosis or treatment.

33 services33 patients

Biopsy of lobe of lung using an endoscope, 1 lobe 31628

A lung biopsy is a procedure where a small piece of lung tissue is taken for testing. An endoscope, a flexible tube with a light and camera, is used. It's inserted through the mouth or nose, down the windpipe, and into one lobe of the lung.

31 services31 patients

Test for exercise-induced lung stress 94618

An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.

31 services29 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

30 services29 patients

Needle biopsy of windpipe cartilage, airway, and/or lung using an endoscope 31629

A needle biopsy of windpipe cartilage, airway, or lung involves using a thin, flexible tube with a camera (endoscope) to access and collect tissue samples. This procedure helps doctors diagnose lung conditions or diseases effectively and safely.

27 services27 patients

Irrigation and suction of lung airways to obtain cells using an endoscope 31624

This is a procedure where a thin, flexible tube called an endoscope is inserted through your mouth into the lungs. A small amount of saline is then introduced to wash the airways. The fluid, along with cells from the lung, is suctioned back for analysis.

26 services26 patients

Exam of lung airways and sampling of lymph nodes using an endoscope and ultrasound guidance, 1-2 lymph nodes 31652

This procedure involves a special tube with a camera (endoscope) entering your lung airways. Guided by ultrasound, it collects samples from 1-2 lymph nodes. This helps doctors understand and diagnose potential issues in your lungs.

21 services21 patients

Exam of lung airways and sampling of lymph nodes using an endoscope and ultrasound guidance, 3 or more lymph nodes 31653

This procedure involves using a special scope and ultrasound to examine your lung airways and sample tissue from 3 or more lymph nodes. It aids in diagnosing lung conditions and checking lymph node health.

19 services19 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

14 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Allegheny Valley Hospital

Acute Care Hospitals · Natrona, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390032

Location1301 Carlisle StNatrona, PA 15065 · Allegheny County

Emergency services

Allegheny General Hospital

Acute Care Hospitals · Pittsburgh, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390050

Location320 East North AvenuePittsburgh, PA 15212 · Allegheny County

Emergency services

Grove City Medical Center

Acute Care Hospitals · Grove City, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390266

Location631 North Broad Street Ext.Grove City, PA 16127 · Mercer County

Emergency services

Forbes Hospital

Acute Care Hospitals · Monroeville, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390267

Location2570 Haymaker RoadMonroeville, PA 15146 · Allegheny County

Emergency services Birthing friendly

Ahn Wexford Hospital

Acute Care Hospitals · Wexford, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390334

Location12351 Perry HighwayWexford, PA 15090 · Allegheny County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15212 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

Most-billed visit code 99214

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.

93.78/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

85.07

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604