SIDHARTA P. GANGADHARAN M.D. – NPI #1184656605
Thoracic Surgery (Cardiothoracic Vascular Surgery)

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Health Care Provider Taxonomy Code for Thoracic Surgery (Cardiothoracic Vascular Surgery)

SIDHARTA GANGADHARAN is a thoracic surgeon located in BOSTON, MA. NPPES has assigned the NPI number 1184656605 to SIDHARTA GANGADHARAN on July 07, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208G00000X from the Health Care Provider Taxonomy code set, which is classified as Thoracic Surgery (Cardiothoracic Vascular Surgery).

The NPI profile was previously updated about 4 years ago on Apr 14, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SIDHARTA GANGADHARAN below.

NPI Profile for
SIDHARTA P. GANGADHARAN

NPI Number
1184656605
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
SIDHARTA P. GANGADHARAN
Credentials
M.D.
Primary location
BETH ISRAEL DEACONESS MED CTR
110 FRANCIS ST, STE 2A
BOSTON, MA 02215
Phone: (617) 632-8383 Fax:
1 Other location(s):
830 Harrison Ave
STE 3400, Moakley Building
Boston, MA 02118
Phone: (617) 414-8060
Fax: (617) 414-8012
Mailing address
124 DAVIS AVE
#3
BROOKLINE, MA 02445-7634
Phone: (617) 632-8383 Fax:
Sole Proprietor
No
Updated
Certification Date
Apr 14, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208G00000X
- Thoracic Surgery (Cardiothoracic Vascular Surgery) (Primary)		 MA 158136

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
GEISEL SCHOOL OF MEDICINE AT DARTMOUTH - Graduated 1996
Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
SIDHARTA GANGADHARAN is affiliated with the following medical group(s):
  • HOSPITAL
    • ANNA JAQUES HOSPITAL
      25 HIGHLAND AVENUE
      NEWBURYPORT, MA 01950
    • BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM
      148 CHESTNUT STREET
      NEEDHAM, MA 02494
    • BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH
      275 SANDWICH STREET
      PLYMOUTH, MA 02360
    • BETH ISRAEL DEACONESS MEDICAL CENTER
      330 BROOKLINE AVENUE
      BOSTON, MA 02215

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.