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

Q: 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.

Q: 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.

Active since September 18, 2023PECOS Enrolled

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: August 09, 2026.

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

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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 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

Phone(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

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Joel Kevin Raj Samuel Gnanam Mbbs, Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 enrollment system.

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 9 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.