Gautam Mukund Phadke, MD in Monroe, NC

Gautam Mukund Phadke, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Monroe, North Carolina. He graduated from medical school in 2001 and has 24 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Carolinas Medical Center, Metrolina Nephrology Associates Pa and his current practice location is 1640 Campus Park Dr Ste C, Monroe, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 226-0366.

Gautam Mukund Phadke is licensed to practice in North Carolina (license number 2019-01383) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1396997649.

Contact Information

	Gautam Mukund Phadke, MD
	1640 Campus Park Dr Ste C, Monroe, NC 28112-5284
	(704) 226-0366
	(704) 226-9535

Map and Direction

Physician's Profile

Full Name	Gautam Mukund Phadke
Gender	Male
Speciality	Nephrology
Experience	24 Years
Location	1640 Campus Park Dr Ste C, Monroe, North Carolina
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Gautam Mukund Phadke graduated from medical school in 2001

NPI Data:

NPI Number: 1396997649
Provider Enumeration Date: 10/17/2008
Last Update Date: 04/02/2025

Medicare PECOS Information:

PECOS PAC ID: 2567631062
Enrollment ID: I20191217002269

Medical Identifiers

Medical identifiers for Gautam Mukund Phadke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396997649	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	2019-01383 (North Carolina)	Primary
207RN0300X	Internal Medicine - Nephrology	11322 (North Dakota)	Secondary
207RN0300X	Internal Medicine - Nephrology	2009006929 (Missouri)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	RL10218 (North Dakota)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Bio-medical Applications Of North Carolina, Inc.	Charlotte, NC	Dialysis facility
Bma East Charlotte	Charlotte, NC	Dialysis facility
Carolinas Medical Center/behav Health	Charlotte, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Carolinas Medical Center	4789597477	817
Metrolina Nephrology Associates Pa	8022916600	81

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Gautam Mukund Phadke allows following entities to bill medicare on his behalf.

Entity Name	Carolinas Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275774333 PECOS PAC ID: 4789597477 Enrollment ID: O20031110000116

Entity Name	Metrolina Nephrology Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083664189 PECOS PAC ID: 8022916600 Enrollment ID: O20031219000790

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gautam Mukund Phadke is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Gautam Mukund Phadke, MD 3158 Freedom Dr Ste 3102, Charlotte, NC 28208-0014 Ph: (704) 971-7099	Gautam Mukund Phadke, MD 1640 Campus Park Dr Ste C, Monroe, NC 28112-5284 Ph: (704) 226-0366

Reviews and Comments

Internal Medicine Doctors in Monroe, NC

Dr. Thomas Joseph Bice, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1969 Wellness Blvd, Monroe, NC 28110 Phone: 704-316-5775 Fax: 704-316-5815
Rajiv Paudel, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1550 Faulk St, Ste 3100, Monroe, NC 28112 Phone: 704-667-3410
Charles H Hoover Iii, MD Nephrology Medicare: Medicare Enrolled Practice Location: 1420 E Franklin St, Monroe, NC 28112 Phone: 704-289-8427 Fax: 704-283-5522
Pascale Anglade, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 1663 Campus Park Dr, Suite D, Monroe, NC 28112 Phone: 704-291-2488 Fax: 704-283-0160
Pawan Damodhar Sarda, M.D. Nephrology Medicare: May Accept Medicare Assignments Practice Location: 1640 E Roosevelt Blvd, Monroe, NC 28112 Phone: 704-226-0500 Fax: 704-226-0599
Santhosh Reddy Devarapally, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1550 Faulk St, Ste 3100, Monroe, NC 28112 Phone: 704-667-3410
Dr. James Wayne Roberts, MD Nephrology Medicare: May Accept Medicare Assignments Practice Location: 1640 E Roosevelt Blvd, Monroe, NC 28112 Phone: 704-226-0500 Fax: 704-226-0599

Gautam Mukund Phadke, MD - Medicare Nephrology in Monroe, NC