SUDHA R GANTI (M.D.) – Internal Medicine Physician, NPI 1093715989

SUDHA R GANTI (M.D.) is a healthcare provider. based in Casselberry, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 182835 (NY). The NPI Number for SUDHA R GANTI (M.D.) is 1093715989

Main info

Female
42 Years Of Experience
Accepts Medicare Assignment
Name
SUDHA R GANTI (M.D.)
NPI
1093715989
Phone
(407) 831-5252
Address
985 STATE ROAD 436
Enumeration Date
21 July 2005
Last Update Date
3 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4073322207
Graduation Year
1984 (42 years ago)
PAC ID
2365584158
Group Practice PAC ID
3577751742
Professional Enrollment ID
I20171109000297
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

12,368 INTERNAL MEDICINE in FL

Provider Addresses for SUDHA R GANTI (M.D.)

  • 985 STATE ROAD 436

    CASSELBERRY, FL 327075664

    Phone: (407) 831-5252

    Fax: (407) 831-3765

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $405.

Total Amount is formed as General ($405) + Research ($0) + Ownership ($0) = $405.

Last reported payment date: 2024-07-30 • Largest payer in this snapshot: Eisai Inc. ($106).

Total Amount

$405

General + Research + Ownership

Payments

4

Total payment records

General Amount

$405

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-30

Latest reported date

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: 2017-11-09

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
I20171109000297IInternal MedicineFLTBD

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes1,942374$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes739228$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes458353$0
99315Nursing facility discharge day management, 30 minutes or less5353$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 32707)

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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: 3577751742View full group profile

Reviews

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Frequently asked questions

Does SUDHA R GANTI (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — SUDHA R GANTI (M.D.) uses 1093715989.
Does CMS list SUDHA R GANTI (M.D.) as active?
Yes — SUDHA R GANTI (M.D.) is active in the NPI listing used on this page.
What taxonomy line describes SUDHA R GANTI (M.D.)?
For research purposes, treat SUDHA R GANTI (M.D.) as Internal Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does SUDHA R GANTI (M.D.) list a practice location?
Patients near Casselberry, Florida may find SUDHA R GANTI (M.D.) in results; validate coverage separately.
Is the information about SUDHA R GANTI (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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