JOANN S GANIM (M.D.) – Pediatrics Physician, NPI 1568440477

JOANN S GANIM (M.D.) is a healthcare provider. based in Peabody, Massachusetts. specializing in Pediatrics Physician. They hold the professional credentials M.D.. They hold a License No. 79065 (MA). The NPI Number for JOANN S GANIM (M.D.) is 1568440477

Main info

Female
Name
JOANN S GANIM (M.D.)
NPI
1568440477
Phone
(978) 977-4300
Address
2 ESSEX CENTER DR
Enumeration Date
3 January 2006
Last Update Date
26 October 2020

Contacts

Secure Messaging
jganimmd11851@direct.atrius.masshiway.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

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Provider Addresses for JOANN S GANIM (M.D.)

  • 2, Essex Center Drive, Northshore Mall, Proctor, Peabody, Essex County, Massachusetts, 01960, United States

    PEABODY, MA 019602926

    Phone: (978) 977-4300

    Fax: (978) 977-4313

    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: 2005-07-26

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
I20050726000267IPediatric MedicineMATBD

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 01960)

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Reviews

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Frequently asked questions

Can I use this page to confirm JOANN S GANIM (M.D.)'s NPI?
Yes. JOANN S GANIM (M.D.) is listed with NPI 1568440477 in the public NPI dataset.
Does the file indicate JOANN S GANIM (M.D.) is practicing under active NPI?
Directory data currently reports JOANN S GANIM (M.D.) as active.
What is JOANN S GANIM (M.D.)'s primary classification?
Pediatrics Physician is the headline specialty for JOANN S GANIM (M.D.) here. Clinical services aligned with this taxonomy classification.
Does JOANN S GANIM (M.D.) list a practice location?
Patients near Peabody, Massachusetts may find JOANN S GANIM (M.D.) in results; validate coverage separately.
Why does JOANN S GANIM (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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