2026 NPPES data Rheumatology Physician NPI 1669862462 MD
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SUHAS GANGULI, MD

Rheumatology Physician in NEPTUNE CITY, New Jersey. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
MIPS score
85.3807/100
▲ 2 pts above national avg 83.1 · [object Object]
What the federal data reveals: SUHAS GANGULI, MD is a Rheumatology Physician ([object Object]) practicing in NEPTUNE CITY, New Jersey . Their CMS MIPS Final Score of 85.3807/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: SUHAS GANGULI, MD reported a CMS MIPS final score of 85.3807 out of 100, above the 83.1 national average. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

SUHAS GANGULI, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

SUHAS GANGULI, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 01/31/2015

NPI 1669862462

Primary specialty

Rheumatology Physician

Mid-sized

6,181 US NPIs in this specialty

MIPS final score

85.3807/100 2.28070000000001% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in New Jersey

How Rheumatology Physician compares to other specialties among New Jersey providers

New Jersey providers

Rheumatology Physician share within New Jersey

1. Rheumatology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Rheumatology Physician share within New Jersey

Medicare quality performance — MIPS

SUHAS GANGULI, MD's 2023 MIPS final score plotted against the Rheumatology Physician national average

High performer (top quartile)
MIPS Final Score
85.3807/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Rheumatology Physician) — 85.3807/100 vs national avg 83.1

0%100%National avg83%85.4%
MIPS final score (Rheumatology Physician) — 85.3807/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

SUHAS GANGULI, MD is a Rheumatology Physician provider practicing in NEPTUNE CITY, New Jersey, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1669862462. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

SUHAS GANGULI, MD appears in the CMS NPPES registry as a Rheumatology Physician provider holding MD credentials at 19 DAVIS AVE FL 5, NEPTUNE CITY, NJ, 07753, with a listed phone of (732) 755-5500. NPI 1669862462 was issued on 01/31/2015. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GANGULI most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D prescribing data is not currently published for this NPI, which typically means the provider either wrote fewer than 11 Part D claims in the most recent reporting year, does not participate in Medicare, or practices in a specialty that rarely prescribes outpatient drugs. Absence of prescribing data is not a quality signal — many Rheumatology Physician providers operate outside Part D entirely. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 85.3807/100 for the 2023 performance year (Quality 76.5037, Cost 60.9067), compared with the national average of 83.1.

Rheumatology Physician is a mid-sized specialty nationwide, with 6,181 enrolled providers across 52 states and an average of 2,054 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

19 DAVIS AVE FL 5
NEPTUNE CITY, NJ 07753

Provider Details

NPI 1669862462
Specialty Rheumatology Physician
Credentials MD
Gender Male
NPI Issued 01/31/2015

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

85.3807
Final Score
Avg: 83.1
76.5037
Quality
60.9067
Cost
100
Promoting Interoperability

Reporting: Group practice

Rheumatology Physician Overview

How SUHAS GANGULI, MD fits within the Rheumatology Physician landscape nationally.

6,181
Rheumatology Physician Providers in US
52
States with Rheumatology Physician
2,054
Avg Claims per Provider

Nearby Rheumatology Physician Providers in New Jersey

Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as GANGULI.

Compare Rheumatology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SUHAS GANGULI, MD's specialty?
SUHAS GANGULI, MD specializes in Rheumatology Physician and practices in NEPTUNE CITY, New Jersey. Credentials: MD.
What is SUHAS GANGULI, MD's Medicare quality score?
SUHAS GANGULI, MD has a CMS MIPS Final Score of 85.3807/100 (Quality: 76.5037, Cost: 60.9067). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SUHAS GANGULI, MD located?
SUHAS GANGULI, MD is located at 19 DAVIS AVE FL 5, NEPTUNE CITY, NJ, 07753. Phone: (732) 755-5500.
What is SUHAS GANGULI, MD's NPI number?
SUHAS GANGULI, MD's National Provider Identifier (NPI) is 1669862462, issued on 01/31/2015.
How many Rheumatology Physician providers are there in the US?
There are 6,181 Rheumatology Physician providers across 52 states in the US. The average Rheumatology Physician provider writes 2,054 Medicare Part D claims per year.
Does SUHAS GANGULI, MD accept Medicare?
SUHAS GANGULI, MD appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SUHAS GANGULI, MD's credentials?
SUHAS GANGULI, MD's NPI is 1669862462 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology