| Madhankumar Sathyamoorthy, MD | |
|
1000 Blythe Blvd, Charlotte, NC 28203-5812 | |
| (704) 355-2000 | |
| Not Available |
| Full Name | Madhankumar Sathyamoorthy |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 1000 Blythe Blvd, Charlotte, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235244245 | NPI | - | NPPES |
| 03325093 | Medicaid | MS | |
| 157034 | Medicaid | AL | |
| 2406469 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LP3000X | Anesthesiology - Pediatric Anesthesiology | 22277 (Mississippi) | Secondary |
| 207L00000X | Anesthesiology | 2018-00990 (North Carolina) | Primary |
| Entity Name | Chs Anesthesia Services Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346649415 PECOS PAC ID: 5799007324 Enrollment ID: O20141209001856 |
| Mailing Address | Practice Location Address |
|---|---|
| Madhankumar Sathyamoorthy, MD 6135 Park South Dr Ste 510, Charlotte, NC 28210-0100 Ph: (704) 749-3116 | Madhankumar Sathyamoorthy, MD 1000 Blythe Blvd, Charlotte, NC 28203-5812 Ph: (704) 355-2000 |
Michael J Mcnelis, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 200 Providence Rd, Suite 101, Charlotte, NC 28207 Phone: 704-749-5800 Fax: 704-749-5819 | |
Dr. Bernard Velardo, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2000 | |
Dr. Richard Ralph Pagano, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10628 Park Rd, Charlotte, NC 28210 Phone: 704-667-1000 | |
Dr. Kevin Todd Cortese, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2000 | |
Stephanie Francis Newby, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 501 Billingsley Rd, Ste B, Charlotte, NC 28211 Phone: 704-444-2400 | |
Kelly Comolli Wilson, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3735 Glenlake Dr Ste 250, Charlotte, NC 28208 Phone: 704-749-5800 | |
Norman A Holmes, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 200 Providence Rd, Suite 101, Charlotte, NC 28207 Phone: 704-749-5800 Fax: 704-749-5819 |