PRERNA GANJOO (MD) – Nephrology Physician, NPI 1083843155

PRERNA GANJOO (MD) is a healthcare provider. based in East providcence, Rhode Island. specializing in INTERNAL MEDICINE, NEPHROLOGY. They hold the professional credentials MD. They hold a License No. MD14641 (RI). The NPI Number for PRERNA GANJOO (MD) is 1083843155

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
PRERNA GANJOO (MD)
NPI
1083843155
Phone
(401) 438-5950
Address
318 WATERMAN AVE
Enumeration Date
9 July 2009
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4014385950
Graduation Year
2008 (18 years ago)
PAC ID
2264659838
Group Practice PAC ID
8426061185
Professional Enrollment ID
I20140806001107
Address ID
RI029142641EA314XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:16State licenses:1Digital endpointsOther names

1,158 INTERNAL MEDICINE in RI

Provider Addresses for PRERNA GANJOO (MD)

  • 318 WATERMAN AVE

    EAST PROVIDCENCE, RI 02914

    Phone: (401) 438-5950

    Fax: (401) 435-6700

    Type: Mailing

  • 593 Eddy St

    Providence, RI 029034923

    Phone: (401) 444-3985

    Fax: (401) 444-3986

    Type: Location

  • 318, Waterman Avenue, Six Corners, East Providence, Providence County, Rhode Island, 02914, United States

    EAST PROVIDENCE, RI 029143525

    Phone: (401) 438-5950

    Fax: (401) 435-6700

    Type: Location

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 $1.

Total Amount is formed as General ($1) + Research ($0) + Ownership ($0) = $1.

Last reported payment date: 2023-11-10 • Largest payer in this snapshot: Travere Therapeutics, Inc. ($1).

Total Amount

$1

General + Research + Ownership

Payments

1

Total payment records

General Amount

$1

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-10

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: 2017-07-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20140806001107INephrologyRITBD
I20170718003174INephrologyMATBD

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
90960Dialysis services, 4 or more physician visits per month (20 years or older)31654$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes22284$0
99214Established patient office or other outpatient visit, 30-39 minutes15586$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes7771$0
99205New patient office or other outpatient visit, 60-74 minutes3131$0
View full utilization report →

Insurance plans in this area (ZIP 02914)

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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: 8426061185View full group profile
NameSpecialtyState
Internal Medicine, NephrologyRI
Nephrology, Internal MedicineRI
-RI
N E P H R O L O G YCT
-RI
Nephrology, Internal Medicine, Internal Medicine, NephrologyRI
N E P H R O L O G YRI
Nephrology, Internal MedicineRI
Nephrology, Internal MedicineMA
Internal Medicine, NephrologyRI

Reviews

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Frequently asked questions

What is the 10-digit NPI for PRERNA GANJOO (MD)?
PRERNA GANJOO (MD) — NPI 1083843155 — is the standard way to identify this listing.
Is PRERNA GANJOO (MD) still practicing?
PRERNA GANJOO (MD) is currently listed as active in the public NPI registry.
What taxonomy line describes PRERNA GANJOO (MD)?
For research purposes, treat PRERNA GANJOO (MD) as Nephrology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for PRERNA GANJOO (MD)?
PRERNA GANJOO (MD)'s geographic hint is East Providcence, Rhode Island in our summary view.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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