ANAND K GANESAN (MD) – Dermatology Physician, NPI 1104895580

ANAND K GANESAN (MD) is a healthcare provider. based in Los angeles, California. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. M1101 (TX). The NPI Number for ANAND K GANESAN (MD) is 1104895580

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
ANAND K GANESAN (MD)
NPI
1104895580
Phone
(714) 456-8068
Address
PO BOX 513230
Enumeration Date
16 March 2006
Last Update Date
14 February 2008

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
7144567004
Graduation Year
2001 (25 years ago)
PAC ID
2163451071
Group Practice PAC ID
7113920992
Professional Enrollment ID
I20070314000595
Address ID
CA928683201OR101XXSXXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,140 DERMATOLOGY in CA

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Provider Addresses for ANAND K GANESAN (MD)

  • Box, Lago del Salado, Los Angeles, San Nicolás de los Garza, Nuevo León, 66477, Mexico

    UNIV DERMATOLOGY

    LOS ANGELES, CA 900513230

    Phone: (714) 456-8068

    Type: Mailing

  • UCI Medical Center, 101, The City Drive South, Orange, Orange County, California, 92868, United States

    UCI MEDICAL CENTER

    ORANGE, CA 928683201

    Phone: (714) 456-8068

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $7,853.

Total Amount is formed as General ($2,923) + Research ($4,930) + Ownership ($0) = $7,853.

Last reported payment date: 2024-05-22 • Largest payer in this snapshot: PFIZER INC. ($4,930).

Total Amount

$7,853

General + Research + Ownership

Payments

5

Total payment records

General Amount

$2,923

General payments

Research Amount

$4,930

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-03-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070314000595IDermatologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes17591$0
17003Destruction of precancer skin growth, 2-14 growths9319$0
96910Therapy procedure using ultraviolet radiation with tar or petroleum jelly application4019$0
99213Established patient office or other outpatient visit, 20-29 minutes3833$0
17000Destruction of precancer skin growth, 1 growth2722$0
View full utilization report →

Insurance plans in this area (ZIP 90051)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7113920992View full group profile
NameSpecialtyState
D E R M A T O L O G YCA
D E R M A T O L O G YCA
D E R M A T O L O G YMD
D E R M A T O L O G YRI
Physician AssistantCA
D E R M A T O L O G YMA
D E R M A T O L O G YCA
D E R M A T O L O G YCA
D E R M A T O L O G YCA
D E R M A T O L O G YCA

Reviews

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Frequently asked questions

What is ANAND K GANESAN (MD)'s NPI number?
ANAND K GANESAN (MD)'s NPI is 1104895580 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to ANAND K GANESAN (MD)?
You should see ANAND K GANESAN (MD) as active in CMS-hosted NPPES data.
What kind of doctor is ANAND K GANESAN (MD)?
ANAND K GANESAN (MD) is associated with Dermatology Physician in the directory — Clinical services aligned with this taxonomy classification.
Is ANAND K GANESAN (MD) located near Los Angeles?
ANAND K GANESAN (MD) currently maps to Los Angeles, California in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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