Prateek C Gowda, MD
Surgery in Boston, MA. Individual provider (NPI-1).
NPI number1831782572
StatusActive
Last updated in NPPESApr 17, 2024
Details
- NPI
- 1831782572
- Entity type
- Individual (NPI-1)
- Name
- Prateek C Gowda
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 13, 2021
- Certification date
- Apr 17, 2024
- Last updated
- Apr 17, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B No · DME Yes · Home health No · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 3016640 | MA | Yes |
Practice location
55 Fruit StBoston, MA 02114-2696
Phone 617-726-2800
Mailing address
55 Fruit St # 425Boston, MA 02114-2696
Phone 617-726-2800
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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