DR. STEPHEN ANDREW GANNON M.D. NPI 1881960037

NPI Information

  • NPI: 1881960037
  • Provider Name: DR. STEPHEN ANDREW GANNON, M.D.
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 300 MOUNT AUBURN ST STE 310
    CAMBRIDGE, MA
    ZIP 02138
  • Phone: (617) 497-1560

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NPI Details

DR. Stephen Andrew Gannon, M.D. is a cardiovascular disease internal medicine in Cambridge, MA with 13 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Stephen Andrew Gannon, M.D. NPI is 1881960037. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Graduation Year:2012

The provider's business location address is:

300 MOUNT AUBURN ST STE 310
CAMBRIDGE, MA
ZIP 02138-665
Phone: (617) 497-1560
Fax: (617) 497-1190

The NPI 1881960037 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist (HCPCS:93458)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist (HCPCS:93460)
  • Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch (HCPCS:92928)
  • Removal of plaque and blood clot, insertion of stent and/or balloon dilation of single vessel (HCPCS:92941)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Insertion of tube in coronary artery for diagnosis with review by radiologist (HCPCS:93454)
  • Critical care, first 30-74 minutes (HCPCS:99291)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Replacement of aortic valve through the skin and femoral artery (HCPCS:33361)
  • Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist (HCPCS:93459)
  • Heart rhythm recording of continous external ekg over 8-15 days (HCPCS:93246)
  • Heart rhythm review and interpretation of continous external ekg over 8-15 days (HCPCS:93248)
  • Telephone medical discussion with physician, 21-30 minutes (HCPCS:99443)
  • Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel (HCPCS:93571)
  • Coronary angioplasty and stenting (HCPCS:NAN05)
  • Pacemaker insertion or repair (HCPCS:NAN10)

The enumeration date for this NPI number is 3/31/2012 and was last updated on 5/18/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2207RC0000XInternal MedicineCardiovascular Disease274883MASSACHUSETTSYes
3207RC0000XInternal MedicineCardiovascular DiseaseMD15347RHODE ISLANDNo
4207R00000XInternal MedicineMD15347RHODE ISLANDNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1110146553AMEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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