Individual provider Active NPI

Sridhar Ganda, D.O.

  • Anesthesiology Physician
  • Methuen, MA
National Provider Identifier
1861690679
Registry record updated Apr 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
242364 Issued in MA
Practice address
70 East St
Methuen, MA 01844-4597
Phone
(516) 297-3036
NPI assigned
Jul 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 248617-1 NY
Anesthesiology Physician 207L00000X 242364 MA Primary

Addresses

Primary practice location

70 East St
Methuen, MA 01844-4597

Mailing address

70 East St
Methuen, MA 01844-4597
Phone (516) 297-3036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100121000056 MA Practitioner - Anesthesiology 7315013935 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lowell Anesthesiology Service IncGroup PAC ID 3072556141, 98 clinicians

Practice addresses (Care Compare)

33 Bartlett St
Suite 203
Lowell, MA 01852-1317
Phone (978) 689-4601

Hospital & facility affiliations

  • Holy Family Hospital Hospital, Methuen, MA, CCN 220080
  • Lowell General Hospital Hospital, Lowell, MA, CCN 220063

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
242364MAMDAnesthesiology Physician
248617-1NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc Anesthesiology CurrentSince Mar 1, 2018 Accepting new patients
Lowell Anesthesiology Service, Inc. Anesthesiology CurrentSince Sep 29, 2023 Accepting new patients
Steward Medical Group, Inc CurrentSince Mar 1, 2018 Accepting new patients

Locations

138 Haverhill St
Andover, MA 01810
Phone (978) 296-2302

795 Middle St
Fall River, MA 02721
Phone (508) 235-5046

33 Bartlett St
Ste 203
Lowell, MA 01852
Phone (978) 689-4601

70 East St
Methuen, MA 01844
Phone (978) 682-1906

535 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 961-0665

800 Washington St
Norwood, MA 02062
Phone (781) 278-6264

114 Whitwell St
Quincy, MA 02169
Phone (617) 376-4018

440 Swansea Mall Dr
Swansea, MA 02777
Phone (508) 324-1171

Interoperability endpoints

  • Direct secure messaging: sganda94202@tuftsmedicine.direct-ci.com

Organizations & group practices 3

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334880000000",
    "number": "1861690679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 EAST ST",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018444597",
            "telephone_number": "516-297-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 EAST ST",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018444597",
            "telephone_number": "516-297-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDA",
        "first_name": "SRIDHAR",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-03",
        "last_updated": "2012-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "248617-1",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "242364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Methuen, MA

Sources for this page

Verify at the official NPI Registry.