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DR. MASOUD GANJI MD
NPI 1861595910
Pathology - Anatomic Pathology & Clinical Pathology in Mequon, WI

Active since September 06, 2006PECOS EnrolledAccepts Medicare Assignment
81.48/100
CMS Quality Rating
13111 N PORT WASHINGTON RD, MEQUON, WI 53097(262) 243-7300(414) 961-3421 Get Directions Write a Review

NPPES record last updated: November 2, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Masoud Ganji Md NPPES

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

DR. MASOUD GANJI MD (NPI 1861595910) is an individual anatomic pathology & clinical pathology provider in Mequon, Wisconsin, licensed in Wisconsin (46629) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1861595910
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. MASOUD GANJICredential: MD
Location Address13111 N PORT WASHINGTON RDMequon, WI 53097-2416
Mailing Address2323 N Lake DrMilwaukee, WI 53211-4508 · (414) 961-5362
Phone(262) 243-7300
Fax(414) 961-3421
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateSeptember 6, 2006
Last NPPES UpdateNovember 2, 2022
NPPES CertifiedNovember 2, 2022
✔ NPI 1861595910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in WI · 46629
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
13111 N PORT WASHINGTON RD, Mequon, WI 53097
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Other Identifiers 1

Medicaid34613900WI

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

Dr. Masoud Ganji 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 ID2466412408
PECOS Enrollment IDI20041014000541
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.

Areas of Expertise CMS Part B claims 7

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
517 services267 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
93 services80 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
75 services28 patients
Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method G0416
This procedure involves taking a small tissue sample from your gland located beneath your bladder. The sample is then examined under a microscope by a pathologist to check for any abnormalities or diseases. This is a standard method to ensure your well-being.
70 services70 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
61 services39 patients
Special stained specimen slides to examine tissue, each multiplex procedure 88344
Special stained specimen slides are used to study tissue in detail. This multiplex procedure involves applying different dyes to the tissue sample on a slide to highlight specific elements. These colors help identify any abnormalities in the tissue, aiding in accurate diagnosis and treatment planning.
59 services27 patients

Hospital Affiliations CMS Care Compare 5

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

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520051
Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County
Emergency services Birthing friendly

Ascension St Francis Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520078
Location3237 S 16th StMilwaukee, WI 53215 · Milwaukee County
Emergency services

Ascension All Saints Hospital

Acute Care Hospitals · Racine, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520096
Location3801 Spring StRacine, WI 53405 · Racine County
Emergency services Birthing friendly

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520136
Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County
Emergency services Birthing friendly

Midwest Orthopedic Specialty Hospital

Acute Care Hospitals · Franklin, WI
OwnershipPhysician
CMS Certification Number520205
Location10101 South 27th St 2nd FloorFranklin, WI 53132 · Milwaukee County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53097 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

81.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.39
Promoting Interoperability100
Improvement Activities40
Cost49.87

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.

VICTORIA JANE LEPOLD
Student in an Organized Health Care Education/Training Program
13111 N PORT WASHINGTON RD
MEQUON, WI 53097
Ozaukee County (262) 243-7300
CARDIOGRAPHICS PHYSICIANS ST. MARY'S OZAUKEE
Internal Medicine (Cardiovascular Disease)
13111 N PORT WASHINGTON RD
MEQUON, WI 53097
Ozaukee County (262) 243-7300
MRS. KIM ANN GLASER MS CCC-SLP
Speech-Language Pathologist
13111 N PORT WASHINGTON RD
MEQUON, WI 53097
Ozaukee County (262) 243-5757
LAURA ALAR R.PH.
Pharmacist
13111 N PORT WASHINGTON RD
MEQUON, WI 53097
Ozaukee County (262) 243-7342
EDWIN BACALSO
Social Worker (Clinical)
13111 N PORT WASHINGTON RD
THIENSVILLE, WI 53097
Ozaukee County (262) 243-6127
JANET SUSAN INGOLD PTA
Physical Therapy Assistant
13111 N PORT WASHINGTON RD
MEQUON, WI 53097
Ozaukee County (262) 243-7444
MRS. ELIZABETH SHEPLER CRNA
Nurse Anesthetist, Certified Registered
13111 N PORT WASHINGTON RD
MEQUON, WI 53097
Ozaukee County (262) 243-7408
INFINITY HEALTHCARE PHYSICIANS, S.C.
Emergency Medicine
13111 N PORT WASHINGTON RD, COLUMBIA ST. MARY'S - OZAUKEE CAMPUS
MEQUON, WI 53097
Ozaukee County (414) 290-6718

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 Masoud Ganji's NPI number?

The NPI number for Masoud Ganji is 1861595910. It was assigned to this individual provider in the NPPES registry on September 6, 2006.

Where is Masoud Ganji located?

Masoud Ganji practices at 13111 N Port Washington Rd, Mequon, WI 53097. The listed phone number is (262) 243-7300.

What is Masoud Ganji's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Masoud Ganji enrolled in Medicare?

Yes. Masoud Ganji 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.

Is Masoud Ganji affiliated with any hospitals?

According to CMS data, Masoud Ganji is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, Ascension St Francis Hospital, Ascension All Saints Hospital, Ascension SE Wisconsin Hospital and Midwest Orthopedic Specialty Hospital.

When was this NPI record last updated?

The NPPES record for Masoud Ganji was last updated on November 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.