SUSHMA GADDAM
NPI 1851773139
Radiology - Diagnostic Radiology in New York, NY

Q: What is Sushma Gaddam's NPI number?

The NPI number for Sushma Gaddam is 1851773139. It was assigned to this individual provider in the NPPES registry on June 23, 2015.

Q: What is Sushma Gaddam's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sushma Gaddam was last updated on June 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since June 23, 2015PECOS EnrolledAccepts Medicare Assignment

84.47/100

CMS Quality Rating

550 1ST AVE, NEW YORK, NY 10016(212) 263-3813 Get Directions Write a Review

NPPES record last updated: June 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 1, 2021, Mar 2, 2021, Jun 25, 2016 (3 updates tracked since 2016).

On this page

About Sushma Gaddam NPPES

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

SUSHMA GADDAM (NPI 1851773139) is an individual diagnostic radiology provider in New York, New York, licensed in New York (290570) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Peconic Bay Medical Center, and is a graduate of New York Medical College (2015).

NPPES Registry Identity

NPI1851773139

Entity TypeIndividualFemale

Primary Taxonomy2085R0202X

Provider Legal NameSUSHMA GADDAM

Location Address550 1ST AVENew York, NY 10016-6402

Mailing Address550 1st AveNew York, NY 10016-6402

Phone(212) 263-3813

Sole ProprietorNo

Medical School CMSNew York Medical CollegeGraduated 2015

Enumeration DateJune 23, 2015

Last NPPES UpdateJune 27, 20233 updates tracked since enumeration

NPPES CertifiedDecember 1, 2021

✔ NPI 1851773139 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 NY · 290570

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

550 1ST AVE, New York, NY 10016

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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 and accepts Medicare assignment

Sushma Gaddam 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 ID941599492

PECOS Enrollment IDI20210304002121

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.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Screening 3d breast mammography 77063

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

799 services799 patients

Screening mammography 77067

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

799 services799 patients

Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279

Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.

253 services239 patients

Complete ultrasound scan of 1 breast 76641

A complete ultrasound scan of one breast is a non-invasive imaging test that uses sound waves to create detailed images of the inside of your breast. It helps in detecting any abnormalities or changes, ensuring your breast health.

233 services228 patients

Diagnostic mammography of 1 breast 77065

Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.

185 services159 patients

Limited ultrasound scan of 1 breast 76642

A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.

145 services140 patients

Diagnostic mammography of both breasts 77066

Diagnostic mammography involves using special imaging technology to capture detailed images of both breasts. This procedure helps in identifying any unusual changes or abnormalities. It's a crucial step in ensuring breast health and early detection of potential issues.

127 services125 patients

Screening mammography 77067

118 services118 patients

Screening 3d breast mammography 77063

117 services117 patients

Mri scan of both breasts 77049

An MRI scan of both breasts is a non-invasive procedure using magnetic fields and radio waves to create detailed images of your chest area. This aids in detecting any abnormalities, ensuring your health and well-being.

65 services64 patients

Biopsy of breast and placement of locating device using ultrasound, first growth 19083

A breast biopsy with locating device placement involves taking a small sample from an unusual growth, using ultrasound for precise targeting. This sample is studied for any abnormal cells. A locating device is also placed to mark the area for future reference.

34 services33 patients

Biopsy of breast and placement of locating device using x-ray with needle, first growth 19081

A biopsy of the breast involves extracting a small sample of tissue for examination. A locating device placement, guided by x-ray, aids in identifying the exact spot of the first growth. A needle is used in both processes to ensure precision and minimal discomfort.

18 services18 patients

X-ray of surgical specimen 76098

An X-ray of a surgical specimen involves taking detailed images of the tissue or organ removed during surgery. This helps in examining the specimen more closely to understand the disease better. It's a safe, non-invasive procedure, providing valuable insights to your healthcare team.

13 services12 patients

Limited ultrasound scan of joint or other extremity structure except blood vessels 76882

A limited ultrasound scan of a joint or other extremity structure lacking blood vessels is a non-invasive procedure that uses sound waves to create images of the inside of your body. This helps in diagnosing and monitoring conditions related to your joints or other similar structures.

13 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Peconic Bay Medical Center

Acute Care Hospitals · Riverhead, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number330107

Location1 Heros WayRiverhead, NY 11901 · Suffolk County

Emergency services Birthing friendly

St Charles Hospital

Acute Care Hospitals · Port Jefferson, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number330246

Location200 Belle Terre RoadPort Jefferson, NY 11777 · Suffolk County

Birthing friendly

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY

4/5 CMS rating

OwnershipGovernment - State

CMS Certification Number330393

LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 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

$102.04 typical visit price

range $65.69 – $198.19

Typical copayment $25.51 (range $16.42 – $49.54)

Most-billed visit code 99203

Established Patient

$81.44 typical visit price

range $21.20 – $160.66

Typical copayment $20.36 (range $5.30 – $40.16)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.47/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

93.33

Promoting Interoperability

100

Improvement Activities

Cost

54.91

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SHARON URALIL D.O.

Internal Medicine

550 1ST AVE
NEW YORK, NY 10016

New York County (212) 263-3293

DR. DIANA TREVAS FLEISHER

Emergency Medicine (Pediatric Emergency Medicine)

550 1ST AVE
NEW YORK, NY 10016

New York County (212) 263-3293

DR. MONICA GUPTA M.D.

Allergy & Immunology

550 1ST AVE, NBV 16N30, INTERNAL MEDICINE RESIDENCY PROGRAM
NEW YORK, NY 10016

New York County (212) 263-6397

CHRISTINE CHAN M.D.

Student in an Organized Health Care Education/Training Program

550 1ST AVE
NEW YORK, NY 10016

New York County (212) 263-5506

DR. MATTHEW CHIARELLO MD

Radiology (Vascular & Interventional Radiology)

550 1ST AVE
NEW YORK, NY 10016

New York County (212) 263-5506

DR. MEGAN ELIZABETH JENKINS M.D.

Surgery

550 1ST AVE
NEW YORK, NY 10016

New York County (212) 263-7300

DR. MANAN PATEL M.D.

Student in an Organized Health Care Education/Training Program

550 1ST AVE
NEW YORK, NY 10016

New York County (212) 263-5506

VICKY CHIANG

Student in an Organized Health Care Education/Training Program

550 1ST AVE
NEW YORK, NY 10016

New York County (212) 263-5506

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 Sushma Gaddam's NPI number?

The NPI number for Sushma Gaddam is 1851773139. It was assigned to this individual provider in the NPPES registry on June 23, 2015.

Where is Sushma Gaddam located?

Sushma Gaddam practices at 550 1st Ave, New York, NY 10016. The listed phone number is (212) 263-3813.

What is Sushma Gaddam's specialty?

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

Is Sushma Gaddam enrolled in Medicare?

Yes. Sushma Gaddam 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.

Is Sushma Gaddam affiliated with any hospitals?

According to CMS data, Sushma Gaddam is affiliated with Peconic Bay Medical Center, St Charles Hospital and Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Sushma Gaddam was last updated on June 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.