Shantala Gopalakrishnan, MD in Charlotte, NC

Shantala Gopalakrishnan, MD is a medicare enrolled "Internal Medicine" physician in Charlotte, North Carolina. She graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Hospitalist. She is a member of the group practice Carolinas Physicians Network Inc, Scotland Regional Health Network and her current practice location is 10628 Park Rd, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 667-7070.

Shantala Gopalakrishnan is licensed to practice in North Carolina (license number 200400940) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1700891421.

Contact Information

	Shantala Gopalakrishnan, MD
	10628 Park Rd, Charlotte, NC 28210-8407
	(704) 667-7070
	Not Available

Map and Direction

Physician's Profile

Full Name	Shantala Gopalakrishnan
Gender	Female
Speciality	Hospitalist
Experience	28 Years
Location	10628 Park Rd, Charlotte, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Shantala Gopalakrishnan graduated from medical school in 1996

NPI Data:

NPI Number: 1700891421
Provider Enumeration Date: 07/30/2006
Last Update Date: 12/18/2023

Medicare PECOS Information:

PECOS PAC ID: 6204897747
Enrollment ID: I20041019000881

Medical Identifiers

Medical identifiers for Shantala Gopalakrishnan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700891421	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	200400940 (North Carolina)	Secondary
207R00000X	Internal Medicine	200400940 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Atrium Health Cleveland	Shelby, NC	Hospital
Atrium Health University City	Charlotte, NC	Hospital
Scotland Memorial Hospital	Laurinburg, NC	Hospital
Atrium Health Anson	Wadesboro, NC	Hospital
Atrium Health Union	Monroe, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Carolinas Physicians Network Inc	3375449655	1613
Scotland Regional Health Network	2365573185	50

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. Shantala Gopalakrishnan allows following entities to bill medicare on her 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	Carolinas Physicians Network Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477878890 PECOS PAC ID: 3375449655 Enrollment ID: O20031219000455

Entity Name	The Charlotte-mecklenburg Hospital Authority
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669738829 PECOS PAC ID: 2961310685 Enrollment ID: O20100309000605

Entity Name	Scotland Regional Health Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972829562 PECOS PAC ID: 2365573185 Enrollment ID: O20100623000242

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. Shantala Gopalakrishnan 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
Shantala Gopalakrishnan, MD Po Box 19305, Charlotte, NC 28219-9305 Ph: () -	Shantala Gopalakrishnan, MD 10628 Park Rd, Charlotte, NC 28210-8407 Ph: (704) 667-7070

Reviews and Comments

Internal Medicine Doctors in Charlotte, NC

Dr. Anish Kaushik Vani, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 125 Queens Rd Ste 200, Charlotte, NC 28204 Phone: 704-343-9800 Fax: 704-347-2011
John Michael Fedor, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1237 Harding Pl, Ste 3100, Charlotte, NC 28204 Phone: 704-373-0212
Dr. Michael Warren Smith, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6115 Park South Dr Ste 100, Charlotte, NC 28210 Phone: 704-554-8787 Fax: 704-554-8774
William Lane Jr., MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1350 S Kings Dr, Charlotte, NC 28207 Phone: 704-446-4490
Dr. Alagusivakumari Rameshbabu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10648 Park Rd, Charlotte, NC 28210 Phone: 704-667-8050
Shibin Thomas Jacob, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E W T Harris Blvd, Bldg 5000 Suite #5101, Charlotte, NC 28262 Phone: 704-863-5847
Oscar Sven Brann, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6060 Piedmont Row Dr S Fl 10, Charlotte, NC 28287 Phone: 704-489-3094

Shantala Gopalakrishnan, MD - Medicare Hospitalist in Charlotte, NC