| Phani Mohan Vupadhyayula, | |
|
612 Mocksville Ave, Salisbury, NC 28144-2732 | |
| (704) 210-5260 | |
| (704) 210-5265 |
| Full Name | Phani Mohan Vupadhyayula |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 23 Years |
| Location | 612 Mocksville Ave, Salisbury, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659523991 | NPI | - | NPPES |
| NC1962 | Medicaid | SC | |
| 40598 | Other | SC | SC MEDICAL LICENSE |
| Facility Name | Location | Facility Type |
|---|---|---|
| Novant Health Rowan Medical Center | Salisbury, NC | Hospital |
| Novant Health Presbyterian Medical Center | Charlotte, NC | Hospital |
| Novant Health Mint Hill Medical Center | Charlotte, NC | Hospital |
| Novant Health Ballantyne Medical Center | Charlotte, NC | Hospital |
| Roper Hospital | Charleston, SC | Hospital |
| Encompass Health Rehabilitation Hospital Of Rock H | Rock hill, SC | Inpatient rehabilitation facility |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Novant Health Medical Group, Llc | 1153234893 | 2413 |
| 24 On Physicians Of Sc Llc | 5890127344 | 136 |
| Entity Name | Novant Health Medical Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
| Entity Name | Caromont Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356314272 PECOS PAC ID: 3577476258 Enrollment ID: O20031201000070 |
| Entity Name | Valeant Medical Group PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942917380 PECOS PAC ID: 3274905310 Enrollment ID: O20240703000723 |
| Mailing Address | Practice Location Address |
|---|---|
| Phani Mohan Vupadhyayula, Po Box 60447, Charlotte, NC 28260-0447 Ph: Not Available | Phani Mohan Vupadhyayula, 612 Mocksville Ave, Salisbury, NC 28144-2732 Ph: (704) 210-5260 |
Dr. Holly Ann Stevens, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 911 W Henderson St Ste 300, Salisbury, NC 28144 Phone: 704-636-9270 Fax: 704-210-0302 |
Dr. Martha Anne Sommer, MD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 1601 Brenner Ave, Salisbury, NC 28144 Phone: 704-638-9000 |
Dr. Kazi Shamima Afrin, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 612 Mocksville Ave, Salisbury, NC 28144 Phone: 704-210-5260 Fax: 704-210-5265 |
Diana Leticia Petric, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 612 Mocksville Ave, Salisbury, NC 28144 Phone: 704-210-5260 Fax: 704-210-5265 |
Matthew Philip Harrison, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 612 Mocksville Ave, Salisbury, NC 28144 Phone: 704-633-7220 Fax: 704-647-0515 |
Michael Wilson Chambers, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 612 Mocksville Ave, Salisbury, NC 28144 Phone: 704-210-5260 Fax: 704-210-5265 |