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NIHARIKA GANTI M.D.
NPI 1861780629
Internal Medicine - Rheumatology in Houston, TX

Active since July 14, 2011PECOS EnrolledAccepts Medicare Assignment
13300 HARGROVE ROAD, SUITE 505, HOUSTON, TX 77070(281) 737-0810(281) 477-7083 Get Directions Write a Review

NPPES record last updated: September 28, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 28, 2018, Jun 27, 2016 (2 updates tracked since 2016).

About Niharika Ganti M.d. NPPES

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

NIHARIKA GANTI M.D. (NPI 1861780629) is an individual rheumatology provider in Houston, Texas, licensed in Texas (R2592) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, is affiliated with Houston Methodist Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1861780629
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameNIHARIKA GANTICredential: M.D.
Location Address13300 HARGROVE ROAD, SUITE 505Houston, TX 77070
Mailing Address13300 Hargrove Road, Suite 505Houston, TX 77070 · (281) 737-0810 · Fax (281) 737-7083
Phone(281) 737-0810
Fax(281) 477-7083
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 14, 2011
Last NPPES UpdateSeptember 28, 20182 updates tracked since enumeration
✔ NPI 1861780629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses✔ Licensed in TX · R2592✔ Licensed in TX · BP10049239
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
13300 HARGROVE ROAD, Houston, TX 77070
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Community Health Choice, Molina Healthcare, WellPoint.Insurance ›

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

Niharika Ganti 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 ID4587892799
PECOS Enrollment IDI20180914002353
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 3

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.
209 services96 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
46 services46 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.
21 services20 patients

Hospital Affiliations CMS Care Compare 4

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

Houston Methodist Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450358
Location6565 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Houston Methodist Sugarland Hospital

Acute Care Hospitals · Sugar Land, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450820
Location16655 Southwest FreewaySugar Land, TX 77479 · Fort Bend County
Emergency services Birthing friendly

Houston Methodist Willowbrook Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450844
Location18220 State Highway 249Houston, TX 77070 · Harris County
Emergency services Birthing friendly

Houston Methodist West Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670077
Location18500 Katy FreewayHouston, TX 77094 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77070 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

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 Niharika Ganti's NPI number?

The NPI number for Niharika Ganti is 1861780629. It was assigned to this individual provider in the NPPES registry on July 14, 2011.

Where is Niharika Ganti located?

Niharika Ganti practices at 13300 Hargrove Road Suite 505, Houston, TX 77070. The listed phone number is (281) 737-0810.

What is Niharika Ganti's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Niharika Ganti enrolled in Medicare?

Yes. Niharika Ganti 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.

What insurance does Niharika Ganti accept?

Health plans from Community Health Choice, Molina Healthcare and WellPoint list Niharika Ganti 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.

Is Niharika Ganti affiliated with any hospitals?

According to CMS data, Niharika Ganti is affiliated with Houston Methodist Hospital, Houston Methodist Sugarland Hospital, Houston Methodist Willowbrook Hospital and Houston Methodist West Hospital.

When was this NPI record last updated?

The NPPES record for Niharika Ganti was last updated on September 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.