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DR. THIYAGU GANESAN MD
NPI 1508204009
Pediatrics in Marysville, CA

Active since June 06, 2013PECOS Enrolled
5730 PACKARD AVENUE, SUITE NO: 500, MARYSVILLE, CA 95993(530) 749-3242(530) 749-3248 Get Directions Write a Review

NPPES record last updated: October 24, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Thiyagu Ganesan Md NPPES

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

DR. THIYAGU GANESAN MD (NPI 1508204009) is an individual pediatrics provider in Marysville, California, licensed in California (A140735) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508204009
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. THIYAGU GANESANCredential: MD
Location Address5730 PACKARD AVENUE, SUITE NO: 500Marysville, CA 95993
Mailing Address5730 Packard Ave, Suite 500Marysville, CA 95901-7118 · (530) 749-3242 · Fax (530) 749-3248
Phone(530) 749-3242
Fax(530) 749-3248
Sole ProprietorYes
Enumeration DateJune 6, 2013
Last NPPES UpdateOctober 24, 2016
✔ NPI 1508204009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A140735
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
5730 PACKARD AVENUE, Marysville, CA 95993
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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 (PECOS)

Dr. Thiyagu Ganesan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Thiyagu Ganesan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ampla Health
1.8 mi
Federally Qualified Health Center (FQHC)
4941 OLIVEHURST AVE.
Olivehurst, CA 95961
  • Reassigned Medicare billing, California enrollment
  • 126 clinicians in this Medicare group
NPI 1801829296 (530) 743-4611

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95993 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

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 Thiyagu Ganesan's NPI number?

The NPI number for Thiyagu Ganesan is 1508204009. It was assigned to this individual provider in the NPPES registry on June 6, 2013.

Where is Thiyagu Ganesan located?

Thiyagu Ganesan practices at 5730 Packard Avenue Suite No: 500, Marysville, CA 95993. The listed phone number is (530) 749-3242.

What is Thiyagu Ganesan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Thiyagu Ganesan enrolled in Medicare?

Yes. Thiyagu Ganesan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Thiyagu Ganesan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thiyagu Ganesan reassigns Medicare benefits to Ampla Health (Olivehurst, CA). The 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 Thiyagu Ganesan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Thiyagu Ganesan was last updated on October 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.