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DR. SUMA BALA GHANTA M.D.
NPI 1609818756
General Practice in Flanders, NJ

Active since June 12, 2006PECOS EnrolledAccepts Medicare Assignment
183 ROUTE 206, FLANDERS, NJ 07836(973) 347-3277(973) 347-3141 Get Directions Write a Review

NPPES record last updated: March 22, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Suma Bala Ghanta M.d. NPPES

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

DR. SUMA BALA GHANTA M.D. (NPI 1609818756) is an individual general practice provider in Flanders, New Jersey, licensed in New Jersey (25MA07257600) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1609818756
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. SUMA BALA GHANTACredential: M.D.
Location Address183 ROUTE 206Flanders, NJ 07836-9050
Mailing Address402 Lippincott DrMarlton, NJ 08053-4112 · (856) 782-3300 · Fax (856) 504-8029
Phone(973) 347-3277
Fax(973) 347-3141
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJune 12, 2006
Last NPPES UpdateMarch 22, 2010
✔ NPI 1609818756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in NJ · 25MA07257600
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
183 ROUTE 206, Flanders, NJ 07836
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Other Identifiers 4

Medicaid8825106NJ
Medicare PIN049232SK3
Medicare PIN077356
Medicare UPINH45133NJ

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. Suma Bala Ghanta 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 ID840372280
PECOS Enrollment IDI20080124000406
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 Suma Ghanta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Advocare, LLC
68 mi
Pediatrics
401 ROUTE 73 N STE 320
Marlton, NJ 08053
  • Reassigned Medicare billing, New Jersey enrollment
  • 909 clinicians in this Medicare group
NPI 1770538696 (856) 872-7055

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 8

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
180 services112 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
106 services95 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
43 services41 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
41 services40 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
41 services41 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
40 services40 patients

Hospital Affiliations CMS Care Compare 3

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

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310015
Location100 Madison AveMorristown, NJ 07960 · Morris County
Emergency services Birthing friendly

Saint Clare's Hospital/ Denville Campus

Acute Care Hospitals · Denville, NJ
3/5 CMS rating
OwnershipProprietary
CMS Certification Number310050
Location25 Pocono RoadDenville, NJ 07834 · Morris County
Emergency services Birthing friendly

Hackettstown Medical Center

Acute Care Hospitals · Hackettstown, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310115
Location651 Willow Grove StHackettstown, NJ 07840 · Warren County
Emergency services

Other Providers at the Same Location NPPES 2

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

ADVOCARE, LLC
Family Medicine
183 ROUTE 206, 1
FLANDERS, NJ 07836
Morris County (973) 347-3277
CHIKARA HWANG PA-C
Physician Assistant
183 ROUTE 206, SUITE 1
FLANDERS, NJ 07836
Morris County (973) 347-3277

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 Suma Ghanta's NPI number?

The NPI number for Suma Ghanta is 1609818756. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Suma Ghanta located?

Suma Ghanta practices at 183 Route 206, Flanders, NJ 07836. The listed phone number is (973) 347-3277.

What is Suma Ghanta's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Suma Ghanta enrolled in Medicare?

Yes. Suma Ghanta 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 organization bills Medicare for Suma Ghanta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Suma Ghanta reassigns Medicare benefits to Advocare, LLC (Marlton, NJ). 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 Suma Ghanta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Suma Ghanta affiliated with any hospitals?

According to CMS data, Suma Ghanta is affiliated with Morristown Medical Center, Saint Clare's Hospital/ Denville Campus and Hackettstown Medical Center.

When was this NPI record last updated?

The NPPES record for Suma Ghanta was last updated on March 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.