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DR. RAGHU D GANJAM M.D.
NPI 1558304261
Internal Medicine in Orlando, FL

Active since June 13, 2006PECOS EnrolledAccepts Medicare Assignment
1507 S HIAWASSEE RD, SUITE 107, ORLANDO, FL 32835(407) 445-9545(407) 445-9365 Get Directions Write a Review

NPPES record last updated: July 13, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Raghu D Ganjam M.d. NPPES

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

DR. RAGHU D GANJAM M.D. (NPI 1558304261) is an individual internal medicine provider in Orlando, Florida, licensed in Florida (ME87933) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1558304261
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. RAGHU D GANJAMCredential: M.D.
Location Address1507 S HIAWASSEE RD, SUITE 107Orlando, FL 32835-5718
Mailing Address1507 S Hiawassee Rd, Suite 107Orlando, FL 32835-5718 · (407) 445-9545 · Fax (407) 445-9365
Phone(407) 445-9545
Fax(407) 445-9365
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateJune 13, 2006
Last NPPES UpdateJuly 13, 2022
NPPES CertifiedMarch 17, 2022
✔ NPI 1558304261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME87933
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X · License ME87933 (FL)
1507 S HIAWASSEE RD, Orlando, FL 32835
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Other Identifiers 1

Medicaid268463200FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida.Insurance ›

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

Dr. Raghu D Ganjam M.d. 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 ID7315840188
PECOS Enrollment IDI20040129000355
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

3

Medicare enrollment records show Raghu Ganjam reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Florida Med-Psych Consultants LLC
Same address
Hospitalist
1507 S HIAWASSEE RD STE 206
Orlando, FL 32835
  • Reassigned Medicare billing, Florida enrollment
  • 52 clinicians in this Medicare group
NPI 1063905925 (407) 445-9545
Orlando Inpatient Medicine, PA
Same address
Internal Medicine
1507 S HIAWASSEE RD STE 206
Orlando, FL 32835
  • Reassigned Medicare billing, Florida enrollment
  • 119 clinicians in this Medicare group
NPI 1902287899 (407) 445-9545
Inpatient Care Specialists LLC
16 mi
Hospitalist
525 TECHNOLOGY PARK STE 109
Lake Mary, FL 32746
  • Reassigned Medicare billing, Florida enrollment
  • 214 clinicians in this Medicare group
NPI 1679817134 (407) 647-2346

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 5

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.
679 services255 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
59 services24 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
34 services34 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
31 services31 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.
23 services15 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32835 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Referred Medical Equipment & Supplies CMS DME claims 13

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

Insertion tray without drainage bag and without catheter (accessories only) A4310
DME-Medical/Surgical Supplies · category DA000N
1 supplier29 claims29 services$6.32 avg. paid by Medicare
Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4338
DME-Orthotic Devices · category DF000N
1 supplier32 claims32 services$11.82 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier31 claims56 services$9.36 avg. paid by Medicare
Tape, non-waterproof, per 18 square inches A4450
DME-Medical/Surgical Supplies · category DA000N
1 supplier12 claims924 services$0.10 avg. paid by Medicare
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
2 suppliers12 claims352 services$2.76 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
2 suppliers18 claims7,952 services$0.28 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ERIC MICHAEL JARYSZAK M.D.
Otolaryngology (Pediatric Otolaryngology)
1507 S HIAWASSEE RD, STE. 103
ORLANDO, FL 32835
Orange County (407) 253-1000
YINA BUELVAS LMT
Massage Therapist
1507 S HIAWASSEE RD, SUITE 215
ORLANDO, FL 32835
Orange County (407) 447-2075
THERESA MARIE BERGIN PA-C
Physician Assistant
1507 S HIAWASSEE RD, STE 107
ORLANDO, FL 32835
Orange County (407) 445-9545
JESSICA JOSEPHINE RADCLIFFE ARNP
Nurse Practitioner (Family)
1507 S HIAWASSEE RD
ORLANDO, FL 32835
Orange County (407) 253-1000
DR. PRADEEP KUMAR VANGALA M.D.
Internal Medicine
1507 S HIAWASSEE RD, SUITE #107
ORLANDO, FL 32835
Orange County (407) 445-9545
MARC R. GERBER MD PA
Pain Medicine (Pain Medicine)
1507 S HIAWASSEE RD, SUITE 203
ORLANDO, FL 32835
Orange County (407) 822-8875
FREEDOM HOME HEALTH
Home Health
1507 S HIAWASSEE RD, SUITE #215
ORLANDO, FL 32835
Orange County (407) 447-2075
MARISSA ESTIVA-MAGSINO MDPA
Internal Medicine
1507 S HIAWASSEE RD, SUITE 115
ORLANDO, FL 32835
Orange County (407) 292-6778

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 Raghu Ganjam's NPI number?

The NPI number for Raghu Ganjam is 1558304261. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is Raghu Ganjam located?

Raghu Ganjam practices at 1507 S Hiawassee Rd Suite 107, Orlando, FL 32835. The listed phone number is (407) 445-9545.

What is Raghu Ganjam's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Raghu Ganjam enrolled in Medicare?

Yes. Raghu Ganjam 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.

Which organizations bill Medicare for Raghu Ganjam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raghu Ganjam reassigns Medicare benefits to 3 organizations: Florida Med-Psych Consultants LLC (Orlando, FL), Orlando Inpatient Medicine, PA (Orlando, FL) and Inpatient Care Specialists LLC (Lake Mary, FL). Each 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 Raghu Ganjam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raghu Ganjam accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list Raghu Ganjam 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 Raghu Ganjam affiliated with any hospitals?

According to CMS data, Raghu Ganjam is affiliated with Adventhealth Orlando.

When was this NPI record last updated?

The NPPES record for Raghu Ganjam was last updated on July 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.