GANESAN SHOBANA (MD) – Internal Medicine Physician, NPI 1154437507

GANESAN SHOBANA (MD) is a healthcare provider. based in Cranberry twp, Pennsylvania. specializing in Internal Medicine Physician. They hold the professional credentials MD. They hold a License No. MD063092L (PA). The NPI Number for GANESAN SHOBANA (MD) is 1154437507

Main info

Female
Sole Proprietor
40 Years Of Experience
Accepts Medicare Assignment
Name
GANESAN SHOBANA (MD)
NPI
1154437507
Phone
(724) 772-2664
Address
3104 UNIONVILLE RD
Enumeration Date
21 August 2006
Last Update Date
6 December 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7249331500
Graduation Year
1986 (40 years ago)
PAC ID
9638110349
Group Practice PAC ID
2062318975
Professional Enrollment ID
I20050512000543
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for GANESAN SHOBANA (MD)

  • 3104, Unionville Road, Cranberry Business Park, Ogle, Cranberry Township, Butler County, Pennsylvania, 16066, United States

    SUITE 180

    CRANBERRY TWP, PA 160663415

    Phone: (724) 772-2664

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-05-12

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
I20050512000543IInternal 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.

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

Insurance plans in this area (ZIP 16066)

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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: 2062318975View full group profile
NameSpecialtyState
Family PracticePA
-PA
P S Y C H I A T R YPA
-PA
Critical Care (Intensivists), Internal Medicine, Pulmonary DiseasePA
Internal MedicinePA
-PA
-PA
Internal MedicinePA
Internal MedicinePA

Reviews

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Frequently asked questions

What is GANESAN SHOBANA (MD)'s NPI number?
GANESAN SHOBANA (MD)'s NPI is 1154437507 — the number used across U.S. healthcare to identify this provider.
Is GANESAN SHOBANA (MD) shown as active in public data?
Registry records indicate GANESAN SHOBANA (MD) maintains an active NPI.
How would a patient describe GANESAN SHOBANA (MD)'s focus?
For GANESAN SHOBANA (MD), the primary taxonomy reads as Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with GANESAN SHOBANA (MD)?
Directory geography for GANESAN SHOBANA (MD) centers on Cranberry Twp, Pennsylvania.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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