CHARUDATTA WANKHADE MD
NPI 1104202175
Internal Medicine - Gastroenterology in Neptune, NJ

Active since July 31, 2015PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
19 DAVIS AVE FL 6, NEPTUNE, NJ 07753(732) 897-2777(732) 897-3970 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 24, 2025, Oct 18, 2022, Jul 23, 2021 (3 updates tracked since 2021).

About Charudatta Wankhade Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARUDATTA WANKHADE MD (NPI 1104202175) is an individual gastroenterology provider in Neptune, New Jersey, licensed in New Jersey (25MA12603900) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, is affiliated with Atlanticare Regional Medical Center - City Campus, and maintains a secondary practice location in Hollywood.

NPPES Registry Identity

NPI1104202175
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameCHARUDATTA WANKHADECredential: MD
Location Address19 DAVIS AVE FL 6Neptune, NJ 07753-4488
Mailing Address331 Newman Springs Rd Ste 220Red Bank, NJ 07701-5792 · (732) 807-0877 · Fax (201) 751-1680
Fax(732) 897-3970
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 31, 2015
Last NPPES UpdateJune 24, 20253 updates tracked since enumeration
NPPES CertifiedJune 24, 2025
✔ NPI 1104202175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in NJ · 25MA12603900✔ Licensed in MD · D0091132
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
19 DAVIS AVE FL 6, Neptune, NJ 07753

Secondary Practice Location 1

Location 124035 Three Notch RdHollywood, MD 20636-4871 · Phone (301) 373-7900 · Fax (301) 373-6900

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Charudatta Wankhade Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749527398
PECOS Enrollment IDI20250710002110
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Charudatta Wankhade reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
Urgent Care
110 E JIMMIE LEEDS RD
Galloway, NJ 08205
  • Reassigned Medicare billing, New Jersey enrollment
  • 921 clinicians in this Medicare group
General Practice
5601 LOCH RAVEN BLVD, RUSSELL MORGAN BLDG 3RD FL
Baltimore, MD 21239
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • 3,530 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
102 services101 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
97 services76 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
65 services64 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
55 services55 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
45 services37 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
34 services33 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Atlanticare Regional Medical Center - City Campus

Acute Care Hospitals · Atlantic City, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310064
Location1925 Pacific AvenueAtlantic City, NJ 08401 · Atlantic County
Emergency services Birthing friendly

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310073
Location1945 State Route 33Neptune, NJ 07753 · Monmouth County
Emergency services Birthing friendly

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07753 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.38
Promoting Interoperability96
Improvement Activities40
Cost74.97

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
19 DAVIS AVE FL 6
NEPTUNE, NJ 07753
Internal Medicine (Infectious Disease)
19 DAVIS AVE FL 6
NEPTUNE, NJ 07753
Internal Medicine (Infectious Disease)
19 DAVIS AVE FL 6
NEPTUNE, NJ 07753
Internal Medicine (Rheumatology)
19 DAVIS AVE FL 6
NEPTUNE, NJ 07753
Internal Medicine (Endocrinology, Diabetes & Metabolism)
19 DAVIS AVE FL 6
NEPTUNE, NJ 07753
Family Medicine
19 DAVIS AVE FL 6
NEPTUNE, NJ 07753
Internal Medicine (Infectious Disease)
19 DAVIS AVE FL 6
NEPTUNE, NJ 07753
Internal Medicine (Endocrinology, Diabetes & Metabolism)
19 DAVIS AVE FL 6
NEPTUNE, NJ 07753

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charudatta Wankhade's NPI number?

The NPI number for Charudatta Wankhade is 1104202175. It was assigned to this individual provider in the NPPES registry on July 31, 2015.

Where is Charudatta Wankhade located?

Charudatta Wankhade practices at 19 Davis Ave Fl 6, Neptune, NJ 07753. The listed phone number is (732) 897-2777.

What is Charudatta Wankhade's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Charudatta Wankhade enrolled in Medicare?

Yes. Charudatta Wankhade is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Charudatta Wankhade's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charudatta Wankhade reassigns Medicare benefits to 3 organizations: Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ), Atlanticare Physician Group, PA (Galloway, NJ) and Medstar Medical Group II LLC (Baltimore, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charudatta Wankhade's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charudatta Wankhade accept?

Health plans from Oscar Health list Charudatta Wankhade as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Charudatta Wankhade affiliated with any hospitals?

According to CMS data, Charudatta Wankhade is affiliated with Atlanticare Regional Medical Center - City Campus, Jersey Shore University Medical Center and Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Charudatta Wankhade was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.