Ketan G Ginoya, DMD is a medicare enrolled "Dentist - General Practice" provider in Peachtree Cty, Georgia. His current practice location is
5000 Shakerag Hl, Peachtree Cty, Georgia. You can reach out to his office (for appointments etc.) via phone at
(770) 631-0044.
Ketan G Ginoya is licensed to practice in Georgia (license number DN014859) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1033497409.
Healthcare Provider's Profile
| Full Name | Ketan G Ginoya |
|---|
| Gender | Male |
|---|
| Speciality | Dentist - General Practice |
|---|
| Location | 5000 Shakerag Hl, Peachtree Cty, Georgia |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1033497409
- Provider Enumeration Date: 08/02/2011
- Last Update Date: 02/26/2026
Medicare PECOS Information:
- PECOS PAC ID: 8729380019
- Enrollment ID: I20160104000962
Medical Identifiers
Medical identifiers for Ketan G Ginoya such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1033497409 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1223G0001X | Dentist - General Practice | DN014859 (Georgia) | Primary |
| 1223G0001X | Dentist - General Practice | 16179 (Maryland) | Secondary |
| 1223G0001X | Dentist - General Practice | DN1855814 (Massachusetts) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ketan G Ginoya is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Ketan G Ginoya, DMD 5000 Shakerag Hl, Peachtree City, GA 30269-3367 Ph: (770) 631-0044 | Ketan G Ginoya, DMD 5000 Shakerag Hl, Peachtree Cty, GA 30269-3367 Ph: (770) 631-0044 |
Reviews and Comments