DR. JOEL KEVIN RAJ SAMUEL GNANAM MBBS, MD
NPI 1609654136
Radiology - Diagnostic Radiology in Boston, MA

Active since September 18, 2023PECOS EnrolledAccepts Medicare Assignment
55 FRUIT ST RM 197, BOSTON, MA 02114(617) 724-5246 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 4, 2025, Mar 6, 2025, Apr 19, 2024 (3 updates tracked since 2024).

About Dr. Joel Kevin Raj Samuel Gnanam Mbbs, Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOEL KEVIN RAJ SAMUEL GNANAM MBBS, MD (NPI 1609654136) is an individual diagnostic radiology provider in Boston, Massachusetts, licensed in Massachusetts (1023727) and active in the NPI registry since September 2023. He is enrolled in Medicare PECOS, is affiliated with Massachusetts General Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1609654136
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. JOEL KEVIN RAJ SAMUEL GNANAMCredential: MBBS, MD
Location Address55 FRUIT ST RM 197Boston, MA 02114-2696
Mailing Address55 Fruit St, Blk Sb Rm 0029aBoston, MA 02114 · (617) 724-5246
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 18, 2023
Last NPPES UpdateNovember 4, 20253 updates tracked since enumeration
NPPES CertifiedNovember 4, 2025
✔ NPI 1609654136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in MA · 1023727
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
55 FRUIT ST RM 197, Boston, MA 02114

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Joel Kevin Raj Samuel Gnanam Mbbs, Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870082324
PECOS Enrollment IDI20251027001973
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Joel Kevin Raj Samuel Gnanam reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dermatology
55 FRUIT ST, BUL 2
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6,360 clinicians in this Medicare group
General Acute Care Hospital
55 FRUIT ST, BULFINCH 360
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6,234 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220071
Location55 Fruit StreetBoston, MA 02114 · Suffolk County
Emergency services Birthing friendly

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220110
Location75 Francis StreetBoston, MA 02115 · Suffolk County
Emergency services Birthing friendly

Martha's Vineyard Hospital Inc

Critical Access Hospitals · Oak Bluffs, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number221300
LocationOne Hospital Road, First Fl, Wing 5, PO Box 1477Oak Bluffs, MA 02557 · Dukes County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02114 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joel Kevin Raj Samuel Gnanam's NPI number?

The NPI number for Joel Kevin Raj Samuel Gnanam is 1609654136. It was assigned to this individual provider in the NPPES registry on September 18, 2023.

Where is Joel Kevin Raj Samuel Gnanam located?

Joel Kevin Raj Samuel Gnanam practices at 55 Fruit St Rm 197, Boston, MA 02114. The listed phone number is (617) 724-5246.

What is Joel Kevin Raj Samuel Gnanam's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Joel Kevin Raj Samuel Gnanam enrolled in Medicare?

Yes. Joel Kevin Raj Samuel Gnanam is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Joel Kevin Raj Samuel Gnanam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joel Kevin Raj Samuel Gnanam reassigns Medicare benefits to 2 organizations: Massachusetts General Physicians Organization Inc (Boston, MA) and The General Hospital Corporation (Boston, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Joel Kevin Raj Samuel Gnanam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joel Kevin Raj Samuel Gnanam accept?

Health plans from Taro Health list Joel Kevin Raj Samuel Gnanam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Joel Kevin Raj Samuel Gnanam affiliated with any hospitals?

According to CMS data, Joel Kevin Raj Samuel Gnanam is affiliated with Massachusetts General Hospital, Brigham And Women's Hospital and Martha's Vineyard Hospital Inc.

When was this NPI record last updated?

The NPPES record for Joel Kevin Raj Samuel Gnanam was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.