NADER GANIM M.D.
NPI 1972741056
Psychiatry & Neurology - Psychiatry in Batavia, NY

Active since January 28, 2009PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
5130 E MAIN STREET RD STE 2, BATAVIA, NY 14020(585) 344-1421 Get Directions Write a Review

NPPES record last updated: February 3, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 3, 2025, Dec 29, 2020, May 15, 2017 and 1 more (4 updates tracked since 2016).

About Nader Ganim M.d. NPPES

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

NADER GANIM M.D. (NPI 1972741056) is an individual psychiatry provider in Batavia, New York, licensed in Florida (ME125309) and active in the NPI registry since January 2009. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1972741056
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameNADER GANIMCredential: M.D.
Location Address5130 E MAIN STREET RD STE 2Batavia, NY 14020-3444
Mailing Address598 10th Ave Apt 4rNew York, NY 10036-3002 · (212) 444-2645
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateJanuary 28, 2009
Last NPPES UpdateFebruary 3, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2025
✔ NPI 1972741056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in FL · ME125309✔ Licensed in NY · 131074191
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
5130 E MAIN STREET RD STE 2, Batavia, NY 14020

Secondary Practice Locations 2

Location 1360 W 43rd St Apt S17DNew York, NY 10036-6495 · Phone (212) 444-2645 · Fax (212) 444-2645
Location 2820 Prudential Dr Ste 510Jacksonville, FL 32207-8207 · Phone (904) 376-3800 · Fax (904) 396-8971

Accepted 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

Nader Ganim 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 ID9133341902
PECOS Enrollment IDI20190208002276
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

8

Medicare enrollment records show Nader Ganim reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatric Hospital
400 SUNRISE HWY
Amityville, NY 11701
  • Reassigned Medicare billing, New York enrollment
  • 123 clinicians in this Medicare group
Internal Medicine
1 SHIRCLIFF WAY
Jacksonville, FL 32204
  • Reassigned Medicare billing, Florida enrollment
  • 492 clinicians in this Medicare group
Professional
841 PRUDENTIAL DR STE 1350
Jacksonville, FL 32207
  • Reassigned Medicare billing, Florida enrollment
  • 176 clinicians in this Medicare group
Psychiatric Hospital
6300 BEACH BLVD
Jacksonville, FL 32216
  • Reassigned Medicare billing, Florida enrollment
  • 43 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
420 STADIUM ROAD
Daytona Beach, FL 32114
  • Reassigned Medicare billing, Florida enrollment
  • 114 clinicians in this Medicare group
Psychiatric Hospital
11300 US 19 N
Clearwater, FL 33764
  • Reassigned Medicare billing, Florida enrollment
  • 40 clinicians in this Medicare group
Addiction Medicine
2900 N MILITARY TRL STE 241
Boca Raton, FL 33431
  • Reassigned Medicare billing, Florida enrollment
  • 23 clinicians in this Medicare group
Internal Medicine
22974 OVERSEAS HWY
Cudjoe Key, FL 33042
  • Reassigned Medicare billing, Florida enrollment
  • 71 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.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
93 services30 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
31 services28 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
28 services26 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14020 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
$166.88 typical visit price
range $54.87 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
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.

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

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.

Registered Nurse
5130 E MAIN STREET RD STE 2
BATAVIA, NY 14020
Registered Nurse (Psychiatric/Mental Health)
5130 E MAIN STREET RD STE 2
BATAVIA, NY 14020
Social Worker
5130 E MAIN STREET RD STE 2
BATAVIA, NY 14020
Counselor (Mental Health)
5130 E MAIN STREET RD STE 2
BATAVIA, NY 14020
Student in an Organized Health Care Education/Training Program
5130 E MAIN STREET RD STE 2
BATAVIA, NY 14020
Community/Behavioral Health
5130 E MAIN STREET RD STE 2
BATAVIA, NY 14020
Student in an Organized Health Care Education/Training Program
5130 E MAIN STREET RD STE 2
BATAVIA, NY 14020
Social Worker
5130 E MAIN STREET RD STE 2
BATAVIA, NY 14020

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 Nader Ganim's NPI number?

The NPI number for Nader Ganim is 1972741056. It was assigned to this individual provider in the NPPES registry on January 28, 2009.

Where is Nader Ganim located?

Nader Ganim practices at 5130 E Main Street Rd Ste 2, Batavia, NY 14020. The listed phone number is (585) 344-1421.

What is Nader Ganim's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Nader Ganim enrolled in Medicare?

Yes. Nader Ganim 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 Nader Ganim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nader Ganim reassigns Medicare benefits to 8 organizations: The Long Island Home (Amityville, NY), Hni Medical Services Of Florida, LLC (Jacksonville, FL), Baptist Behavioral Health, LLC (Jacksonville, FL), Tbj Behavioral Center LLC (Jacksonville, FL), Sma Healthcare, Inc (Daytona Beach, FL) and 3 more organizations, listed in the Medicare section above. 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 Nader Ganim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nader Ganim accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida and 1 other insurer list Nader Ganim 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 Nader Ganim affiliated with any hospitals?

According to CMS data, Nader Ganim is affiliated with Baptist Health Medical Center - Jacksonville.

When was this NPI record last updated?

The NPPES record for Nader Ganim was last updated on February 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.