DR. SHIRIN GANJALI MD
NPI 1669001913
Family Medicine in Santa Rosa Beach, FL

Q: What is Shirin Ganjali's NPI number?

The NPI number for Shirin Ganjali is 1669001913. It was assigned to this individual provider in the NPPES registry on April 7, 2020.

Q: What is Shirin Ganjali's specialty?

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

Q: Is Shirin Ganjali enrolled in Medicare?

No. Shirin Ganjali has opted out of Medicare through July 3, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Shirin Ganjali was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since April 07, 2020Opted out of Medicare · through Jul 3, 2028

291 HOLLEY GROVE LANE, SANTA ROSA BEACH, FL 32459(614) 706-6011 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: September 13, 2026.

On this page

About Dr. Shirin Ganjali Md NPPES

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

DR. SHIRIN GANJALI MD (NPI 1669001913) is an individual family medicine provider in Santa Rosa Beach, Florida, licensed in Florida (162970) and active in the NPI registry since April 2020. She has opted out of Medicare through July 3, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1669001913

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. SHIRIN GANJALICredential: MD

Location Address291 HOLLEY GROVE LANESanta Rosa Beach, FL 32459-8057

Mailing Address291 Holley Grove LaneSanta Rosa Beach, FL 32459-8057

Phone(614) 706-6011

Sole ProprietorNo

Enumeration DateApril 7, 2020

Last NPPES UpdateAugust 21, 2025

NPPES CertifiedAugust 16, 2025

✔ NPI 1669001913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · 162970

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.

291 HOLLEY GROVE LANE, Santa Rosa Beach, FL 32459

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dr. Shirin Ganjali Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 3, 2026 through July 3, 2028.

Opt-Out Effective DateJuly 3, 2026

Opt-Out In Effect ThroughJuly 3, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32459 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

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.

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 Shirin Ganjali's NPI number?

The NPI number for Shirin Ganjali is 1669001913. It was assigned to this individual provider in the NPPES registry on April 7, 2020.

Where is Shirin Ganjali located?

Shirin Ganjali practices at 291 Holley Grove Lane, Santa Rosa Beach, FL 32459. The listed phone number is (614) 706-6011.

What is Shirin Ganjali's specialty?

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

Is Shirin Ganjali enrolled in Medicare?

No. Shirin Ganjali has opted out of Medicare through July 3, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Shirin Ganjali was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.