PALLIYATH NEETHI GANGADHARAN MD
NPI 1588812978
Family Medicine in Dublin, CA

Q: 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.

Q: What is Palliyath Neethi Gangadharan's specialty?

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

Active since August 28, 2008PECOS EnrolledAccepts Medicare Assignment

4050 DUBLIN BLVD, DUBLIN, CA 94568(925) 875-6179 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 10, 2025, Feb 27, 2025, Dec 15, 2021 (3 updates tracked since 2021).

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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

NPI1588812978

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NamePALLIYATH NEETHI GANGADHARANCredential: MD

Location Address4050 DUBLIN BLVDDublin, CA 94568-3112

Mailing Address4050 Dublin BlvdDublin, CA 94568-3112 · (925) 875-6179

Phone(925) 875-6179

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateAugust 28, 2008

Last NPPES UpdateDecember 10, 20253 updates tracked since enumeration

NPPES CertifiedDecember 10, 2025

✔ NPI 1588812978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A112962

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.

4050 DUBLIN BLVD, Dublin, CA 94568

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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

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.

PECOS PAC ID6002095262

PECOS Enrollment IDI20130608000167

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.

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.

New Patient

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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.

KIMBERLY H CHONG MD

Pediatrics