PATRICIA MARIA GANJA (PA-C) – Medical Physician Assistant, NPI 1457605289

PATRICIA MARIA GANJA (PA-C) is a healthcare provider. based in Las vegas, Nevada. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA 1391 (NV). The NPI Number for PATRICIA MARIA GANJA (PA-C) is 1457605289

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
PATRICIA MARIA GANJA (PA-C)
NPI
1457605289
Phone
(702) 281-8727
Address
5130 S FORT APACHE RD STE 215-232
Enumeration Date
31 October 2012
Last Update Date
3 July 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7026967256
Graduation Year
2012 (14 years ago)
PAC ID
3870745623
Group Practice PAC ID
6204926298
Professional Enrollment ID
I20121130000512
Address ID
NV891280463LA3150XWAYX405
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

1,223 PHYSICIAN ASSISTANT in NV

Provider Addresses for PATRICIA MARIA GANJA (PA-C)

  • 5130 S FORT APACHE RD STE 215-232

    LAS VEGAS, NV 891481719

    Phone: (702) 281-8727

    Type: Mailing

  • 5741 S FORT APACHE RD STE 120

    LAS VEGAS, NV 891485622

    Phone: (702) 798-0111

    Fax: (844) 247-3481

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 87 Open Payments records for all available years, with a total value of $2,209.

Total Amount is formed as General ($2,209) + Research ($0) + Ownership ($0) = $2,209.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Novo Nordisk Inc ($489).

Total Amount

$2,209

General + Research + Ownership

Payments

87

Total payment records

General Amount

$2,209

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

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: 2012-11-30

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
I20121130000512IPhysician AssistantNVTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89148)

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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: 6204926298View full group profile
NameSpecialtyState
Pulmonary Disease, Internal Medicine, Critical Care (Intensivists)NV
E N D O C R I N O L O G YNV
Internal MedicineNV
Endocrinology, Internal MedicineNV
-NV
Endocrinology, Internal MedicineNV
E N D O C R I N O L O G YNV
E N D O C R I N O L O G YNV
E N D O C R I N O L O G YNV
Physician AssistantNV

Reviews

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Frequently asked questions

What unique ID ties claims to PATRICIA MARIA GANJA (PA-C)?
NPI 1457605289 is assigned to PATRICIA MARIA GANJA (PA-C) under the national enumeration system.
Is PATRICIA MARIA GANJA (PA-C) currently active in the NPI registry?
CMS-published data lists PATRICIA MARIA GANJA (PA-C) as an active registrant.
What kind of provider is PATRICIA MARIA GANJA (PA-C)?
The page reflects Medical Physician Assistant for PATRICIA MARIA GANJA (PA-C). Clinical services aligned with this taxonomy classification.
Does PATRICIA MARIA GANJA (PA-C) practice in Nevada?
You will see Las Vegas, Nevada on file for PATRICIA MARIA GANJA (PA-C) 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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