Sreenivasulu R. Gangasani, MD

Key facts

NPI

1215923701

Entity type

Individual (NPI type 1)

Primary specialty

Cardiovascular Disease Physician 207RC0000X

License

48777 (GA)

Practice address

310 Philip Blvd Ste 102
Lawrenceville, GA 30046-8700

Phone

(678) 841-8412

Fax

(678) 783-6876

NPI assigned

Sep 21, 2005

Sex

Male

Sole proprietor

Yes

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northside CV Professional Services LLC Cardiovascular Disease Physician · Lawrenceville, GA · NPI 1821612938
  Medicare reassignment Care Compare group NPD CARDIOVASCULAR DISEASE · GA
• Northside Hospital, Inc. General Acute Care Hospital · Lawrenceville, GA · NPI 1952340994
  Medicare reassignment NPD GA
• Reagan Medical Center LLC Family Medicine Physician · Suwanee, GA · NPI 1952316747
  Medicare reassignment GA
• Gwinnett Heart Specialists LLC Cardiovascular Disease Physician · Lawrenceville, GA · NPI 1679818991
  NPD CARDIOVASCULAR DISEASE
• Gwinnett Medical Group, Inc General Practice Physician · Lawrenceville, GA · NPI 1780747469
  NPD
• Gwinnett Pathology Assoc PC Anatomic Pathology & Clinical Pathology Physician · Lawrenceville, GA · NPI 1104887330
  NPD
• Northside Hospital, Inc. General Acute Care Hospital · Atlanta, GA · NPI 1457396079
  NPD
• Northside Hospital, Inc. General Acute Care Hospital · Duluth, GA · NPI 1790715381
  NPD
• Cardiovascular Group, PC Cardiovascular Disease Physician · Lawrenceville, GA · NPI 1215980479
  NPD (past) CARDIOVASCULAR DISEASE
• Saint Josephs Hospital of Atlanta Inc General Acute Care Hospital · Atlanta, GA · NPI 1679664395
  NPD (past)

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Guardian Home Care of Northeast Georgia, LLC Home Health Agency · Buford, GA · NPI 1639100985
  Care Compare affiliation Home health agency
• Northside Hospital, Inc. General Acute Care Hospital · Canton, GA · NPI 1225050396
  Care Compare affiliation Hospital
• Northside Hospital, Inc. General Acute Care Hospital · Cumming, GA · NPI 1376574277
  Care Compare affiliation Hospital
• Northside Hospital, Inc. General Acute Care Hospital · Atlanta, GA · NPI 1457396079
  Care Compare affiliation Hospital
• Northside Hospital, Inc. General Acute Care Hospital · Duluth, GA · NPI 1790715381
  Care Compare affiliation Hospital
• Northside Hospital, Inc. General Acute Care Hospital · Lawrenceville, GA · NPI 1952340994
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Advanced Heart Failure and Transplant Cardiology

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northside CV Professional Services LLC (53 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Accentcare Home Health of Northeast Georgia Home health agency · Buford, GA · CCN 117139
• Northside Hospital Gwinnett Hospital · Lawrenceville, GA · CCN 110087
• Northside Hospital Duluth Hospital · Duluth, GA · CCN 110252
• Northside Hospital Hospital · Atlanta, GA · CCN 110161
• Northside Hospital Forsyth Hospital · Cumming, GA · CCN 110005
• Northside Hospital Cherokee Hospital · Canton, GA · CCN 110008

Merit-based Incentive Payment System (MIPS)

Final score

76.66 of 100 (group)

Quality

58.46

Promoting interoperability

83

Improvement activities

40

Cost

77.92

Procedures performed for Medicare patients

Medicare participation

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

Other names

• Dr. Sreeni R Gangasani Professional name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 21, 2026.

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1215923701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 PHILIP BLVD STE 102",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468700",
            "telephone_number": "678-841-8412",
            "fax_number": "678-783-6876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 PHILIP BLVD STE 102",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468700",
            "telephone_number": "678-841-8412",
            "fax_number": "678-783-6876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANGASANI",
        "first_name": "SREENIVASULU",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "48777",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "GA",
            "license": "48777",
            "primary": false
        },
        {
            "code": "207RA0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
            "state": "GA",
            "license": "48777",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00866412E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SREENI",
            "last_name": "GANGASANI",
            "middle_name": "R",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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All providers in Lawrenceville, GA · Cardiovascular Disease Physician in Georgia