SUSHMA GADDAM
NPI 1851773139
Radiology - Diagnostic Radiology in New York, NY
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 Suny/stony Brook University Hospital, and is a graduate of New York Medical College (2015).
NPPES Registry Identity
Specialties & Licenses
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Sushma Gaddam reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Stony Brook, NY 11794
- Reassigned Medicare billing, New York enrollment
- 69 clinicians in this Medicare group
Boynton Beach, FL 33426
- Reassigned Medicare billing, New York enrollment
- 2,450 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.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Suny/Stony Brook University Hospital
Acute Care Hospitals · Stony Brook, NYPhysician 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.
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.
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.
NEW YORK, NY 10016
NEW YORK, NY 10016
NEW YORK, NY 10016
NEW YORK, NY 10016
NEW YORK, NY 10016
NEW YORK, NY 10016
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.
Which organizations bill Medicare for Sushma Gaddam's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sushma Gaddam reassigns Medicare benefits to 2 organizations: Stony Brook Radiology, University Faculty Practice Corporation (Stony Brook, NY) and New York University (Boynton Beach, FL). 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 Sushma Gaddam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Sushma Gaddam affiliated with any hospitals?
According to CMS data, Sushma Gaddam is affiliated with 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.
# Sushma Gaddam · NPI 1851773139
Diagnostic Radiology physician in New York, New York. Individual provider, active in the CMS NPPES registry since June 23, 2015.
## Identity
- **NPI:** 1851773139 (Entity type: Individual)
- **Enumerated:** June 23, 2015
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** 290570 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 550 1ST AVE, New York, NY 10016-6402
- **Phone:** (212) 263-3813
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Stony Brook Radiology, University Faculty Practice Corporation (NPI 1366497448, Stony Brook, NY); New York University (NPI 1285826438, Boynton Beach, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New York Medical College, class of 2015
## Record status
- **NPPES last updated:** June 27, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1851773139) · Data from the CMS NPPES public registry.