SUHAS GANGULI MD
NPI 1669862462
Pediatrics - Pediatric Rheumatology in Neptune City, NJ
About Suhas Ganguli Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUHAS GANGULI MD (NPI 1669862462) is an individual pediatric rheumatology provider in Neptune City, New Jersey, licensed in New Jersey (25MA11379800) and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in Hackensack.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Suhas Ganguli Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Suhas Ganguli reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- 306 clinicians in this Medicare group
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- 2,844 clinicians in this Medicare group
Albany, NY 12208
- Reassigned Medicare billing, New York enrollment
- 1,640 clinicians in this Medicare group
Plover, WI 54467
- Reassigned Medicare billing, Wisconsin enrollment
- 2,476 clinicians in this Medicare group
Marshfield, WI 54449
- Reassigned Medicare billing, Wisconsin enrollment
- 2,540 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.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
NEPTUNE, NJ 07753
NEPTUNE, NJ 07753
NEPTUNE, NJ 07753
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 Suhas Ganguli's NPI number?
The NPI number for Suhas Ganguli is 1669862462. It was assigned to this individual provider in the NPPES registry on January 31, 2015.
Where is Suhas Ganguli located?
Suhas Ganguli practices at 19 Davis Ave Fl 5, Neptune City, NJ 07753. The listed phone number is (732) 755-5500.
What is Suhas Ganguli's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Rheumatology, with taxonomy code 2080P0216X.
Is Suhas Ganguli enrolled in Medicare?
Yes. Suhas Ganguli is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Suhas Ganguli's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Suhas Ganguli reassigns Medicare benefits to 5 organizations: Hackensack Meridian Health Medical Group - Complex Care PC (Red Bank, NJ), Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ), Albany Medical College (Albany, NY), Mchs Hospitals, Inc. (Plover, WI) and Marshfield Clinic Inc (Marshfield, WI). 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 Suhas Ganguli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Suhas Ganguli accept?
Health plans from Oscar Health list Suhas Ganguli 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.
When was this NPI record last updated?
The NPPES record for Suhas Ganguli was last updated on August 18, 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.
# Suhas Ganguli, MD · NPI 1669862462
Pediatric Rheumatology physician in Neptune City, New Jersey. Individual provider, active in the CMS NPPES registry since January 31, 2015.
## Identity
- **NPI:** 1669862462 (Entity type: Individual)
- **Enumerated:** January 31, 2015
- **Primary specialty:** Pediatrics - Pediatric Rheumatology · taxonomy 2080P0216X
- **State license:** 25MA11379800 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 19 DAVIS AVE FL 5, Neptune City, NJ 07753-4488
- **Phone:** (732) 755-5500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Hackensack Meridian Health Medical Group - Complex Care PC (NPI 1154379626, Red Bank, NJ); Hackensack Meridian Health Medical Group - Specialty Care PC (NPI 1215989249, Red Bank, NJ); Albany Medical College (NPI 1497921688, Albany, NY); Mchs Hospitals, Inc. (NPI 1386249894, Plover, WI); Marshfield Clinic Inc (NPI 1952347981, Marshfield, WI) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 18, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1669862462) · Data from the CMS NPPES public registry.