GOWTHAM GANESAN
NPI 1407434418
Family Medicine in Dallas, TX

Q: What is Gowtham Ganesan's NPI number?

The NPI number for Gowtham Ganesan is 1407434418. It was assigned to this individual provider in the NPPES registry on March 31, 2021.

Q: What is Gowtham Ganesan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Gowtham Ganesan was last updated on July 1, 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.

Active since March 31, 2021PECOS EnrolledAccepts Medicare Assignment

3500 GASTON AVE, DALLAS, TX 75246(214) 820-2361 Get Directions Write a Review

NPPES record last updated: July 1, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 1, 2024, Mar 31, 2021 (2 updates tracked since 2021).

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About Gowtham Ganesan NPPES

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

GOWTHAM GANESAN (NPI 1407434418) is an individual family medicine provider in Dallas, Texas, licensed in Texas (1407434418) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center Grapevine, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1407434418

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameGOWTHAM GANESAN

Location Address3500 GASTON AVEDallas, TX 75246-2017

Mailing Address925 E Southlake BlvdSouthlake, TX 76092-1476 · (817) 912-8800

Phone(214) 820-2361

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMarch 31, 2021

Last NPPES UpdateJuly 1, 20242 updates tracked since enumeration

NPPES CertifiedJuly 1, 2024

✔ NPI 1407434418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TX · 1407434418

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3500 GASTON AVE, Dallas, TX 75246

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.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

Gowtham Ganesan 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 ID6002215878

PECOS Enrollment IDI20240913002256

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 4

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 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.

119 services94 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

70 services65 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

45 services45 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.

19 services19 patients

Hospital Affiliations CMS Care Compare

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

Baylor Scott & White Medical Center Grapevine

Acute Care Hospitals · Grapevine, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450563

Location1650 W College StGrapevine, TX 76051 · Tarrant County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75246 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

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$100.80 typical visit price

range $18.48 – $141.20

Typical copayment $25.20 (range $4.62 – $35.30)

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.

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.

DR. JAIME ALBERT CAMPBELL M.D., M.S.

Pathology (Anatomic Pathology & Clinical Pathology)

3500 GASTON AVE, BAYLOR UNIVERSITY MEDICAL CENTER, DEPT OF PATHOLOGY
DALLAS, TX 75246

Dallas County (214) 820-3772

MICHELLE CAIN AGACNP

Nurse Practitioner (Acute Care)

3500 GASTON AVE
DALLAS, TX 75246

Dallas County (214) 820-2050

DR. MATTHEW PAUL CLEMONS MD

Radiology (Diagnostic Radiology)

3500 GASTON AVE
DALLAS, TX 75246

Dallas County (214) 820-2361

ROBERT COLE FORE RN

Registered Nurse

3500 GASTON AVE
DALLAS, TX 75246

Dallas County (214) 820-0111

JAMES PIERRE D'ETIENNE MD

Emergency Medicine

3500 GASTON AVE
DALLAS, TX 75246

Dallas County (214) 820-2505

DR. JO ANN F. TRAVIS M.D.

Anesthesiology

3500 GASTON AVE, DEPARTMENT OF ANESTHESIOLOGY
DALLAS, TX 75246

Dallas County (214) 549-4835

ASIF ZIA KHATTAK MD

Pediatrics (Neonatal-Perinatal Medicine)

3500 GASTON AVE
DALLAS, TX 75246

Dallas County (214) 820-7604

FATIMA KHAN

Student in an Organized Health Care Education/Training Program

3500 GASTON AVE
DALLAS, TX 75246

Dallas County (844) 279-3627

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 Gowtham Ganesan's NPI number?

The NPI number for Gowtham Ganesan is 1407434418. It was assigned to this individual provider in the NPPES registry on March 31, 2021.

Where is Gowtham Ganesan located?

Gowtham Ganesan practices at 3500 Gaston Ave, Dallas, TX 75246. The listed phone number is (214) 820-2361.

What is Gowtham Ganesan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gowtham Ganesan enrolled in Medicare?

Yes. Gowtham Ganesan 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 Gowtham Ganesan accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Gowtham Ganesan 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 Gowtham Ganesan affiliated with any hospitals?

According to CMS data, Gowtham Ganesan is affiliated with Baylor Scott & White Medical Center Grapevine.

When was this NPI record last updated?

The NPPES record for Gowtham Ganesan was last updated on July 1, 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.