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DR. AJAY GANTI DDS, MD
NPI 1508008855
Dentist - Oral and Maxillofacial Surgery in Wylie, TX

Active since April 01, 2009Opted out of Medicare · through Jun 10, 2028
2300 W FM 544 STE 240, WYLIE, TX 75098(469) 596-7722(469) 596-7720 Get Directions Write a Review

NPPES record last updated: March 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 6, 2020, Mar 5, 2019, Aug 10, 2016 (3 updates tracked since 2016).

About Dr. Ajay Ganti Dds, Md NPPES

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

DR. AJAY GANTI DDS, MD (NPI 1508008855) is an individual oral and maxillofacial surgery provider in Wylie, Texas, licensed in Texas (35033) and active in the NPI registry since April 2009. He has opted out of Medicare through June 10, 2028 and remains eligible to order and refer and maintains a secondary practice location in Cumming.

NPPES Registry Identity

NPI1508008855
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. AJAY GANTICredential: DDS, MD
Location Address2300 W FM 544 STE 240Wylie, TX 75098-4931
Mailing Address2300 W Fm 544 Ste 240Wylie, TX 75098-4931 · (469) 596-7722 · Fax (469) 596-7720
Phone(469) 596-7722
Fax(469) 596-7720
Sole ProprietorYes
Enumeration DateApril 1, 2009
Last NPPES UpdateMarch 6, 20203 updates tracked since enumeration
NPPES CertifiedMarch 6, 2020
✔ NPI 1508008855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in TX · 35033
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
2300 W FM 544 STE 240, Wylie, TX 75098
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Secondary Practice Location 1

Location 1425 Peachtree Pkwy, Suite 340Cumming, GA 30041-7236 · Phone (404) 433-8433

Other Identifiers 2

Medicaid1508008855TX
Medicaid1033759584TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Ajay Ganti Dds, Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 10, 2022 through June 10, 2028.

Opt-Out Effective DateJune 10, 2022
Opt-Out In Effect ThroughJune 10, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75098 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMAREN SURGICAL PLLC
Dentist (Oral and Maxillofacial Surgery)
2300 W FM 544 STE 240
WYLIE, TX 75098
Collin County (469) 596-7722

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 Ajay Ganti's NPI number?

The NPI number for Ajay Ganti is 1508008855. It was assigned to this individual provider in the NPPES registry on April 1, 2009.

Where is Ajay Ganti located?

Ajay Ganti practices at 2300 W Fm 544 Ste 240, Wylie, TX 75098. The listed phone number is (469) 596-7722.

What is Ajay Ganti's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Ajay Ganti enrolled in Medicare?

No. Ajay Ganti has opted out of Medicare through June 10, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Ajay Ganti accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 15 other insurers list Ajay Ganti 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 Ajay Ganti was last updated on March 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.