Active NPI
Shankho Shuvro Ganguli, M.D.
- Interventional Cardiology Physician
- Paducah, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- TP684
- Practice address
- 1532 Lone Oak Rd Ste 415
Paducah, KY 42003-7943 - Phone
- (270) 442-0103
- NPI assigned
- Mar 28, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | TP684 | KY | Primary |
Addresses
Primary practice location
1532 Lone Oak Rd Ste 415
Paducah, KY 42003-7943
Mailing address
1532 Lone Oak Rd Ste 415
Paducah, KY 42003-7943
Phone (270) 442-0103
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MS, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- University of Tennessee, HSC, College of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1532 Lone Oak Rd
Suite 415
Paducah, KY 42003-7943
Phone (270) 442-0103
Hospital & facility affiliations
- Mercy Health - Lourdes Hospital
- Baptist Health Paducah
- Massac Memorial Hospital
- Marshall County Hospital
- Jackson Purchase Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 32 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians Kentucky Specialty Care LLC | Cardiovascular Disease | Current | Accepting new patients |
| Mercy Health Physicians Kentucky Specialty Care LLC | Current | Accepting new patients | |
| Mercy Health Physicians Kentucky LLC | Cardiovascular Disease | Past | Accepting new patients |
Locations
1532 Lone Oak Rd
Ste 415
Paducah, KY 42003
1532 Lone Oak Rd
Ste 320
Paducah, KY 42003
Phone (270) 415-3830
1530 Lone Oak Rd
Ste 415
Paducah, KY 42003
Interoperability endpoints
- shankhoganguli@stern.allscriptsdirect.net
- sganguli32943@mlh.direct-ci.com
- sganguli2739838@direct.bsmhealth.org
Organizations & group practices 4
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.
-
- Surgery Physician
- Paducah, KY
- NPI 1700408093
Cardiovascular Disease
-
- Cardiovascular Disease Physician
- Germantown, TN
- NPI 1316242266
MS
-
- Durable Medical Equipment & Medical Supplies
- Paducah, KY
- NPI 1043088347
-
- Family Medicine Physician
- Paducah, KY
- NPI 1922243690
Cardiovascular Disease
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Paducah, KY
- NPI 1730264128
-
- Critical Access Hospital
- Benton, KY
- NPI 1568528594
-
- General Acute Care Hospital
- Paducah, KY
- NPI 1346244126
-
- Rural Acute Care Hospital
- Mayfield, KY
- NPI 1891892741
-
- Critical Access Hospital
- Metropolis, IL
- NPI 1790788578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738022400000",
"number": "1407122989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1532 LONE OAK RD STE 415",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420037943",
"telephone_number": "270-442-0103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1532 LONE OAK RD STE 415",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420037943",
"telephone_number": "270-442-0103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANGULI",
"first_name": "SHANKHO",
"middle_name": "SHUVRO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-28",
"last_updated": "2025-01-28",
"certification_date": "2025-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "KY",
"license": "TP684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.