Niraj Ganjawala, MD - Medicare Family Practice in Albuquerque, NM

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Niraj Ganjawala, MD is a medicare enrolled "Family Medicine" physician in Albuquerque, New Mexico. He graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Cibola General Hospital Corporation, Fedko Emergency Physicians New Mexico, Llc, Nes Arizona Inc, Presbyterian Healthcare Services and his current practice location is Msc Family Medicine, 1 University Of New Mexico, Albuquerque, New Mexico. You can reach out to his office (for appointments etc.) via phone at (575) 517-0461.

Niraj Ganjawala is licensed to practice in Alabama (license number MD.41090) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1346772001.

Contact Information

Niraj Ganjawala, MD
Msc Family Medicine, 1 University Of New Mexico,
Albuquerque, NM 87131-0001
(575) 517-0461
Not Available

Map and Direction




Physician's Profile

Full NameNiraj Ganjawala
GenderMale
SpecialityFamily Practice
Experience8 Years
LocationMsc Family Medicine, Albuquerque, New Mexico
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Niraj Ganjawala graduated from medical school in 2016
  NPI Data:
  • NPI Number: 1346772001
  • Provider Enumeration Date: 03/31/2017
  • Last Update Date: 07/08/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1951672690
  • Enrollment ID: I20210729001298

Medical Identifiers

Medical identifiers for Niraj Ganjawala such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346772001NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine MD.41090 (Alabama)Secondary
390200000XStudent In An Organized Health Care Education/training Program (New Mexico)Secondary
207Q00000XFamily Medicine MD.41090 (Alabama)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Cibola General HospitalGrants, NMHospital
Presbyterian HospitalAlbuquerque, NMHospital
Carlsbad Medical CenterCarlsbad, NMHospital
Eastern New Mexico Medical CenterRoswell, NMHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cibola General Hospital Corporation711393589141
Fedko Emergency Physicians New Mexico, Llc488093438931
Nes Arizona Inc216373720659
Presbyterian Healthcare Services92340417081099

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Niraj Ganjawala allows following entities to bill medicare on his behalf.
Entity NamePresbyterian Healthcare Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104802354
PECOS PAC ID: 9234041708
Enrollment ID: O20031103000603
Entity NameCibola General Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780677039
PECOS PAC ID: 7113935891
Enrollment ID: O20060323000127
Entity NameIsland Medical Loe Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457636706
PECOS PAC ID: 3274700323
Enrollment ID: O20120113000095
Entity NameApp Of New Mexico Ed Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891169942
PECOS PAC ID: 7416259445
Enrollment ID: O20160108000220
Entity NameFedko Emergency Physicians New Mexico, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770047441
PECOS PAC ID: 4880934389
Enrollment ID: O20190320001146
Entity NameNes Arizona Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285163121
PECOS PAC ID: 2163737206
Enrollment ID: O20230803001059

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. Niraj Ganjawala 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 AddressPractice Location Address
Niraj Ganjawala, MD
Msc Family Medicine, 1 University Of New Mexico,
Albuquerque, NM 87131-0001

Ph: (575) 517-0461		Niraj Ganjawala, MD
Msc Family Medicine, 1 University Of New Mexico,
Albuquerque, NM 87131-0001

Ph: (575) 517-0461

Reviews and Comments


Family Medicine Doctors in Albuquerque, NM

Anne Jones, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 8300 Constitution Ave Ne, Albuquerque, NM 87110
Phone: 505-272-2700    
Dr. Matias James Vega, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1217 1st St Nw, Albuquerque Health Care For The Homeless, Albuquerque, NM 87102
Phone: 505-242-4644    Fax: 505-242-3531
Bill Daugherty, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 5901 Harper Dr Ne, Pmg Urgent Care, Albuquerque, NM 87109
Phone: 505-823-8233    Fax: 505-823-8059
Mr. John A Bond, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4420 Irving Blvd Nw, Albuquerque, NM 87114
Phone: 505-727-6300    Fax: 505-727-9588
Margaret Peggy Spencer, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1501 San Pedro Dr Se, Albuquerque, NM 87108
Phone: 505-265-1711    Fax: 505-256-6414
Daniel L. Stulberg, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: Msc 09 5040, 1 University Of New Mexico, Albuquerque, NM 87131
Phone: 505-272-2165    
Carrie A Irvin, PA-C
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1524 Eubank Blvd Ne Ste 6, Albuquerque, NM 87112
Phone: 505-503-8806    Fax: 888-503-8511

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.