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DR. GANGASWAMAIAH HAMSA M.D.
NPI 1700829496
Internal Medicine in North Brunswick, NJ

Active since June 13, 2006PECOS EnrolledAccepts Medicare Assignment
93.71/100
CMS Quality Rating
1555 RUTH RD STE 6, NORTH BRUNSWICK, NJ 08902(732) 821-9200(732) 821-9202 Get Directions Write a Review

NPPES record last updated: February 18, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Gangaswamaiah Hamsa M.d. NPPES

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

DR. GANGASWAMAIAH HAMSA M.D. (NPI 1700829496) is an individual internal medicine provider in North Brunswick, New Jersey, licensed in New Jersey (25MA07698400) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1700829496
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. GANGASWAMAIAH HAMSACredential: M.D.
Location Address1555 RUTH RD STE 6North Brunswick, NJ 08902-4074
Mailing Address15 Olsen CtKendall Park, NJ 08824 · (201) 920-2304
Phone(732) 821-9200
Fax(732) 821-9202
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateJune 13, 2006
Last NPPES UpdateFebruary 18, 2020
✔ NPI 1700829496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA07698400
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1555 RUTH RD STE 6, North Brunswick, NJ 08902
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Other Names 1

Other Name (5)Dr. Gangaswamaiah Hamsa M.d.

Other Identifiers 4

Medicaid0047392NJ
Other91001472100NJ · Americhoice Of New Jersey
OtherP00158189NJ · Railroad Medicare
Other7686632NJ · Aetna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

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. Gangaswamaiah Hamsa 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 ID9335109032
PECOS Enrollment IDI20041018000197
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 Reassignments

2

Medicare enrollment records show Gangaswamaiah Hamsa reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rwjbh Primary Care Services
24 mi
Internal Medicine
95 OLD SHORT HILLS RD
West Orange, NJ 07052
  • Reassigned Medicare billing, New Jersey enrollment
  • 428 clinicians in this Medicare group
NPI 1265037501 (973) 322-5000
Newport Medical LLC
32 mi
Internal Medicine
610 WASHINGTON BLVD
Jersey City, NJ 07310
  • Reassigned Medicare billing, New Jersey enrollment
  • 4 clinicians in this Medicare group
NPI 1982942660 (201) 222-1266

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 9

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 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.
263 services78 patients
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.
232 services82 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
76 services26 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.
57 services36 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.
57 services57 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
55 services50 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08902 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

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.

93.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.79
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers31 claims79 services$6.00 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers18 claims29 services$1.04 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

HAMSA GANGASWAMAIAH MD INC
Clinic/Center (Primary Care)
1555 RUTH RD STE 6
NORTH BRUNSWICK, NJ 08902
Middlesex County (732) 821-9200

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 Gangaswamaiah Hamsa's NPI number?

The NPI number for Gangaswamaiah Hamsa is 1700829496. It was assigned to this individual provider in the NPPES registry on June 13, 2006. The provider is also known as Dr. Gangaswamaiah Hamsa M.D..

Where is Gangaswamaiah Hamsa located?

Gangaswamaiah Hamsa practices at 1555 Ruth Rd Ste 6, North Brunswick, NJ 08902. The listed phone number is (732) 821-9200.

What is Gangaswamaiah Hamsa's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Gangaswamaiah Hamsa enrolled in Medicare?

Yes. Gangaswamaiah Hamsa 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 Gangaswamaiah Hamsa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gangaswamaiah Hamsa reassigns Medicare benefits to 2 organizations: Rwjbh Primary Care Services (West Orange, NJ) and Newport Medical LLC (Jersey City, NJ). 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 Gangaswamaiah Hamsa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gangaswamaiah Hamsa accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Gangaswamaiah Hamsa 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 Gangaswamaiah Hamsa was last updated on February 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.