Individual provider Active NPI

Praveen Ganti Ranganath

  • Diagnostic Radiology Physician
  • Boston, MA
National Provider Identifier
1689069643
Registry record updated Oct 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
282200 Issued in MA
Practice address
55 Fruit St
Boston, MA 02114-2621
Phone
(617) 724-9729
NPI assigned
Apr 6, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 282200 MA Primary

Addresses

Primary practice location

55 Fruit St
Boston, MA 02114-2621

Mailing address

55 Fruit St
Boston, MA 02114-2621

Other practice location 1

185 S Orange Ave
Newark, NJ 07103-2757
Phone (973) 972-6056

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pranganath636433@direct.med.utah.edu Direct University of Utah

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, UT, MO3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210413001263 TX Practitioner - Diagnostic Radiology 4587080627 Reassigns benefits to 3 organizations
I20230802001758 UT Practitioner - Diagnostic Radiology 4587080627 Reassigns benefits to 1 organization
I20240406000596 MO Practitioner - Diagnostic Radiology 4587080627 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Rutgers New Jersey Medical School, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians
Saint Francis Medical CenterGroup PAC ID 9931007929, 441 clinicians

Practice addresses (Care Compare)

1110 N Sarah Dewitt Dr
Gonzales Health System
Gonzales, TX 78629-3311
Phone (830) 672-7581

1313 Hermann Dr
Houston, TX 77004-7005
Phone (281) 466-4401

2000 Transmountain Rd
El Paso, TX 79911-3601
Phone (915) 877-8136

20171 Chasewood Park Dr
Houston, TX 77070-1437
Phone (832) 534-5000

211 Saint Francis Dr
Cape Girardeau, MO 63703-5049
Phone (573) 331-3000

3500 Gaston Ave
Dallas, TX 75246-2017
Phone (214) 820-3216

4600 E Sam Houston Pkwy S
CHI St Luke'S Patients Medical Center
Pasadena, TX 77505-3948
Phone 28187045922120

6720 Bertner Ave
Houston, TX 77030-2604
Phone (855) 504-4544

8780 Hwy 6 B
MH Conv Care Sienna Plantation
Friendswood, TX 77549
Phone (281) 778-1802

9250 Pinecroft Dr
Shenandoah, TX 77380-3218
Phone (713) 897-2300

9440 Poppy Dr
Dallas, TX 75218-3652
Phone (214) 324-6100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
322932NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Singleton Associates PA Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Saint Francis Medical Center CurrentSince Apr 2, 2024 Accepting new patients
University of Utah Adult Services Current Accepting new patients
Btdi JV LLP CurrentSince Jun 1, 2021 Accepting new patients
American Radiology Consultants PLLC Diagnostic Radiology CurrentSince Jun 1, 2021 Accepting new patients
Btdi JV LLP CurrentSince Jun 1, 2021 Accepting new patients
Saint Francis Medical Center Current Accepting new patients
Saint Francis Medical Center CurrentSince Apr 2, 2024 Accepting new patients
University of Utah Adult Services CurrentSince Jun 19, 2023 Accepting new patients
Howard John Simon MD PC Diagnostic Radiology Past Accepting new patients

Locations (25 of 28)

211 Saint Francis Dr
Cpe Girardeau, MO 63703
Phone (573) 331-3000

690 N 14th St
Beaumont, TX 77702
Phone (409) 899-7047

3410 Worth St
Ste 160
Dallas, TX 75246
Phone (214) 826-9797

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

3500 Gaston Ave
Dallas, TX 75246

3900 Junius St
Ste 100
Dallas, TX 75246
Phone (214) 820-6900

6301 Gaston Ave
Ste 180
Dallas, TX 75214
Phone (214) 826-6700

9109 N Central Expy
Ste 100
Dallas, TX 75231

9301 N Central Expy
Ste 200
Dallas, TX 75231
Phone (214) 389-9130

3720 S Interstate 35 E
Denton, TX 76210
Phone (940) 382-1022

1901 Grandview Ave
El Paso, TX 79902
Phone (915) 544-6750

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

4501 Joe Ramsey Blvd E
Ste 120
Greenville, TX 75401
Phone (903) 201-6688

6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092

2021 N MacArthur Blvd
Ste 400
Irving, TX 75061
Phone (972) 253-3751

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

1300 N 4th St
Longview, TX 75601
Phone (903) 757-2122

1441 S Midlothian Pkwy
Ste 100
Midlothian, TX 76065
Phone (469) 800-9600

9155 Grapevine Hwy
Ste 120
North Richland Hills, TX 76180

1355 Ridge Rd
Ste 105
Rockwall, TX 75087

200 N Virginia St
Terrell, TX 75160
Phone 97255174007500

2400 N Interstate Highway 35 E
Waxahachie, TX 75165
Phone (469) 843-4000

505 N Highway 77
Ste 200
Waxahachie, TX 75165
Phone (972) 923-1686

501 W Medical Center Blvd
Webster, TX 77598
Phone (281) 316-4926

Interoperability endpoints

  • Direct secure messaging: pranganath476362@direct.stlukeshealth.org

Organizations & group practices 11

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.

Hospital & facility affiliations 19

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

View all 19

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697932800000",
    "number": "1689069643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142621",
            "telephone_number": "617-724-9729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "185 S Orange Ave",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071032757",
            "country_code": "US",
            "telephone_number": "973-972-6056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANGANATH",
        "first_name": "PRAVEEN",
        "middle_name": "GANTI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-06",
        "last_updated": "2023-10-22",
        "certification_date": "2023-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "282200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pranganath636433@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "University of Utah",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.