DR. SUVRANU GANGULI (M.D.) – Vascular & Interventional Radiology Physician, NPI 1811023492

DR. SUVRANU GANGULI (M.D.) is a healthcare provider. based in East boston, Massachusetts. specializing in INTERVENTIONAL RADIOLOGY, DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 230920 (MA). The NPI Number for DR. SUVRANU GANGULI (M.D.) is 1811023492

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. SUVRANU GANGULI (M.D.)
NPI
1811023492
Phone
(617) 569-5800
Address
10 Gove St
Enumeration Date
26 February 2007
Last Update Date
8 April 2026

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
6176386610
Graduation Year
2002 (24 years ago)
PAC ID
5799884102
Group Practice PAC ID
1052392768
Professional Enrollment ID
I20070626000643
Address ID
MA021182905BO840XXAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

190 INTERVENTIONAL RADIOLOGY in MA

Provider Addresses for DR. SUVRANU GANGULI (M.D.)

  • 10 Gove St

    East Boston, MA 02128

    Phone: (617) 569-5800

    Type: Location

  • 235 N Pearl St

    Brockton, MA 023011794

    Phone: (508) 427-2665

    Fax: (508) 427-2368

    Type: Location

  • 801 ALBANY ST

    FL G

    BOSTON, MA 021192560

    Phone: (617) 414-5405

    Fax: (617) 414-6031

    Type: Mailing

  • 736 Cambridge St

    Brighton, MA 021352907

    Phone: (617) 789-2762

    Type: Location

  • 960 MASSACHUSETTS AVENUE

    FL 2

    BOSTON, MA 02118

    Phone:

    Type: Mailing

  • 840 HARRISON AVE

    BOSTON, MA 021182905

    Phone: (617) 638-6610

    Fax: (617) 638-6616

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 323 Open Payments records for all available years, with a total value of $242,626.

Total Amount is formed as General ($242,626) + Research ($0) + Ownership ($0) = $242,626.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Sirtex Medical Inc ($164,284).

Total Amount

$242,626

General + Research + Ownership

Payments

323

Total payment records

General Amount

$242,626

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

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: 2007-06-26

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
I20070626000643IInterventional RadiologyMATBD

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
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes7569$0
76937Ultrasonic guidance for blood vessel access2724$0
77001Fluoroscopic guidance for insertion or removal of central vein access device1817$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1716$0
76942Ultrasonic guidance for needle placement1111$0
View full utilization report →

Insurance plans in this area (ZIP 02128)

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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: 1052392768View full group profile
NameSpecialtyState
-MA
Diagnostic RadiologyMA
Diagnostic Radiology, Interventional RadiologyMA
Diagnostic RadiologyMA
Diagnostic RadiologyMA
Physician AssistantMA
-MA
Diagnostic Radiology, Nuclear MedicineMA
Diagnostic RadiologyMA
Diagnostic RadiologyMA

Reviews

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Frequently asked questions

How do I look up DR. SUVRANU GANGULI (M.D.) by NPI?
Use NPI 1811023492 when you need to reference DR. SUVRANU GANGULI (M.D.) in forms, claims, or directories.
Is DR. SUVRANU GANGULI (M.D.)'s NPI currently valid?
The extract we use shows DR. SUVRANU GANGULI (M.D.) as active.
Does DR. SUVRANU GANGULI (M.D.) list a primary specialty?
If you are matching referrals, note Vascular & Interventional Radiology Physician for DR. SUVRANU GANGULI (M.D.). Clinical services aligned with this taxonomy classification.
Where is DR. SUVRANU GANGULI (M.D.)'s primary listing?
We display East Boston, Massachusetts because that is what the record indicates for DR. SUVRANU GANGULI (M.D.).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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