SREENATH THATI GANGANNA (MD) – Epilepsy Physician, NPI 1609131770

SREENATH THATI GANGANNA (MD) is a healthcare provider. based in Cleveland, Ohio. specializing in Epilepsy Physician. They hold the professional credentials MD. They hold a License No. MD-46088 (IA). The NPI Number for SREENATH THATI GANGANNA (MD) is 1609131770

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
SREENATH THATI GANGANNA (MD)
NPI
1609131770
Phone
(216) 844-3887
Address
11100 Euclid Ave
Enumeration Date
5 July 2012
Last Update Date
2 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3193561616
Graduation Year
2003 (23 years ago)
PAC ID
3678878105
Group Practice PAC ID
7618884230
Professional Enrollment ID
I20190709002933
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:13State licenses:2Digital endpointsOther names

Provider Addresses for SREENATH THATI GANGANNA (MD)

  • 11100 Euclid Ave

    Case Medical center

    Cleveland, OH 441061716

    Phone: (216) 844-3887

    Fax: (216) 844-1949

    Type: Location

  • 1600 Rockland Rd

    Wilmington, DE 198033607

    Phone: (302) 651-4200

    Fax: (302) 651-5967

    Type: Location

  • 200 HAWKINS DR

    IOWA CITY, IA 52242

    Phone: (319) 356-1851

    Fax: (319) 384-8818

    Type: Location

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: 2019-07-09

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
I20190709002933IEpileptologistsIATBD

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 44106)

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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: 7618884230View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to SREENATH THATI GANGANNA (MD)?
NPI 1609131770 is assigned to SREENATH THATI GANGANNA (MD) under the national enumeration system.
Is SREENATH THATI GANGANNA (MD)'s NPI currently valid?
The extract we use shows SREENATH THATI GANGANNA (MD) as active.
What kind of provider is SREENATH THATI GANGANNA (MD)?
The page reflects Epilepsy Physician for SREENATH THATI GANGANNA (MD). Clinical services aligned with this taxonomy classification.
Where does public data place SREENATH THATI GANGANNA (MD)?
The snapshot lists Cleveland, Ohio for SREENATH THATI GANGANNA (MD); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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