DR. MOHAMEDAZHAR GANGAT (M.D.) – Infectious Disease Physician, NPI 1295099208

DR. MOHAMEDAZHAR GANGAT (M.D.) is a healthcare provider. based in Bangor, Maine. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. MD21684 (ME). The NPI Number for DR. MOHAMEDAZHAR GANGAT (M.D.) is 1295099208

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. MOHAMEDAZHAR GANGAT (M.D.)
NPI
1295099208
Phone
(207) 973-4377
Address
417 STATE ST
Enumeration Date
25 June 2012
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4124570424
Graduation Year
2011 (15 years ago)
PAC ID
2163654898
Group Practice PAC ID
9830003235
Professional Enrollment ID
I20240730000177
Address ID
PA151462141MO3824XPIKE301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

918 INTERNAL MEDICINE in ME

Provider Addresses for DR. MOHAMEDAZHAR GANGAT (M.D.)

  • 417 STATE ST

    STE 412, WEBBER EAST

    BANGOR, ME 04401

    Phone: (207) 973-4377

    Type: Location

  • 417 State St

    Ste 412, Webber East

    Bangor, ME 04401

    Phone: (207) 973-4377

    Type: Location

  • 1400 W 22nd St

    Sioux Falls, SD 571051554

    Phone: (605) 357-1300

    Type: Location

  • 43 WHITING HILL RD STE 300

    BREWER, ME 044121006

    Phone: (605) 595-3737

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $29.

Total Amount is formed as General ($29) + Research ($0) + Ownership ($0) = $29.

Last reported payment date: 2024-10-14 • Largest payer in this snapshot: ABBVIE INC. ($29).

Total Amount

$29

General + Research + Ownership

Payments

1

Total payment records

General Amount

$29

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-14

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$29
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: 2024-07-30

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
I20240730000177IInternal MedicinePATBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes13050$0
99213Established patient office or other outpatient visit, 20-29 minutes9051$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes4039$0
99214Established patient office or other outpatient visit, 30-39 minutes3523$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2217$0
View full utilization report →

Insurance plans in this area (ZIP 04401)

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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: 9830003235View full group profile
NameSpecialtyState
Family PracticePA
Physician AssistantPA
Internal MedicinePA
-PA
Family PracticeOH
-PA
-PA
Internal MedicinePA
N E U R O L O G YPA
Interventional Cardiology, Cardiovascular Disease (Cardiology)PA

Reviews

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Frequently asked questions

Where can patients find DR. MOHAMEDAZHAR GANGAT (M.D.)'s NPI?
You can confirm DR. MOHAMEDAZHAR GANGAT (M.D.) with NPI 1295099208; it appears in the national provider directory.
Is DR. MOHAMEDAZHAR GANGAT (M.D.) active in the national directory?
DR. MOHAMEDAZHAR GANGAT (M.D.)'s public NPI profile is in an active state.
Can you summarize DR. MOHAMEDAZHAR GANGAT (M.D.)'s specialty in plain language?
Clinically, the directory lists DR. MOHAMEDAZHAR GANGAT (M.D.) with Infectious Disease Physician. Clinical services aligned with this taxonomy classification.
Does DR. MOHAMEDAZHAR GANGAT (M.D.) practice in Maine?
You will see Bangor, Maine on file for DR. MOHAMEDAZHAR GANGAT (M.D.) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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