PALLIYATH NEETHI GANGADHARAN MD
NPI 1588812978
Family Medicine in Dublin, CA
About Palliyath Neethi Gangadharan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PALLIYATH NEETHI GANGADHARAN MD (NPI 1588812978) is an individual family medicine provider in Dublin, California, licensed in California (A112962) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses
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
Palliyath Neethi Gangadharan 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.
Medicare Billing Reassignments
2Medicare enrollment records show Palliyath Neethi Gangadharan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Orinda, CA 94563
- Reassigned Medicare billing, California enrollment
- 4,479 clinicians in this Medicare group
Redwood City, CA 94063
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
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 94568 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Palliyath Neethi Gangadharan's NPI number?
The NPI number for Palliyath Neethi Gangadharan is 1588812978. It was assigned to this individual provider in the NPPES registry on August 28, 2008.
Where is Palliyath Neethi Gangadharan located?
Palliyath Neethi Gangadharan practices at 4050 Dublin Blvd, Dublin, CA 94568. The listed phone number is (925) 875-6179.
What is Palliyath Neethi Gangadharan's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Palliyath Neethi Gangadharan enrolled in Medicare?
Yes. Palliyath Neethi Gangadharan 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 Palliyath Neethi Gangadharan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Palliyath Neethi Gangadharan reassigns Medicare benefits to 2 organizations: Sutter Bay Medical Foundation (Orinda, CA) and Permanente Medical Group Inc (Redwood City, CA). 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 Palliyath Neethi Gangadharan'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 Palliyath Neethi Gangadharan was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# Palliyath Neethi Gangadharan, MD · NPI 1588812978
Family Medicine physician in Dublin, California. Individual provider, active in the CMS NPPES registry since August 28, 2008.
## Identity
- **NPI:** 1588812978 (Entity type: Individual)
- **Enumerated:** August 28, 2008
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** A112962 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4050 DUBLIN BLVD, Dublin, CA 94568-3112
- **Phone:** (925) 875-6179
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Sutter Bay Medical Foundation (NPI 1366898538, Orinda, CA); Permanente Medical Group Inc (NPI 1639252604, Redwood City, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** December 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1588812978) · Data from the CMS NPPES public registry.