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SHWETHA MALLESARA SUDHAKAR
NPI 1245461243
Internal Medicine - Endocrinology, Diabetes & Metabolism in Charlotte, NC

Active since August 07, 2009PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1025 MOREHEAD MEDICAL DR, SUITE 500, CHARLOTTE, NC 28204(704) 446-2320 Get Directions Write a Review

NPPES record last updated: February 12, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 12, 2019, Jan 16, 2019, Jan 4, 2019 and 9 more (12 updates tracked since 2016).

About Shwetha Mallesara Sudhakar NPPES

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

SHWETHA MALLESARA SUDHAKAR (NPI 1245461243) is an individual endocrinology, diabetes & metabolism provider in Charlotte, North Carolina, licensed in North Carolina (2015-01296) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS, is affiliated with Atrium Health Cleveland, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1245461243
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameSHWETHA MALLESARA SUDHAKAR
Location Address1025 MOREHEAD MEDICAL DR, SUITE 500Charlotte, NC 28204-2963
Mailing Address1025 Morehead Medical DrCharlotte, NC 28204-2963
Phone(704) 446-2320
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateAugust 7, 2009
Last NPPES UpdateFebruary 12, 201912 updates tracked since enumeration
✔ NPI 1245461243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in NC · 2015-01296
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
1025 MOREHEAD MEDICAL DR, Charlotte, NC 28204
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shwetha Mallesara Sudhakar 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 ID6406006972
PECOS Enrollment IDI20160212000574
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.

Areas of Expertise CMS Part B claims 5

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.

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.
163 services117 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.
78 services50 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
49 services37 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
24 services24 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.
17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Atrium Health Cleveland

Acute Care Hospitals · Shelby, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340021
Location201 E Grover StShelby, NC 28150 · Cleveland County
Emergency services Birthing friendly

Atrium Health Pineville

Acute Care Hospitals · Charlotte, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340098
Location10628 Park RdCharlotte, NC 28210 · Mecklenburg County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28204 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers15 claims51 services$6.58 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers27 claims27 services$184.69 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

LAURENCE BYRON KEMPTON MD
Orthopaedic Surgery
1025 MOREHEAD MEDICAL DR, STE 300
CHARLOTTE, NC 28204
Mecklenburg County (704) 446-2060
JACKIE ALAN LUCAS MD
Obstetrics & Gynecology
1025 MOREHEAD MEDICAL DR, STE 450
CHARLOTTE, NC 28204
Mecklenburg County (704) 446-7800
KEVIN RICHARD KASTEN MD
Surgery
1025 MOREHEAD MEDICAL DR, STE 300
CHARLOTTE, NC 28204
Mecklenburg County (704) 355-1813
ROLAND PIXLEY MD
Obstetrics & Gynecology
1025 MOREHEAD MEDICAL DR, STE 400
CHARLOTTE, NC 28204
Mecklenburg County (704) 446-1700
MICHAEL PASSERI MD
Surgery
1025 MOREHEAD MEDICAL DR, SUITE 600
CHARLOTTE, NC 28204
Mecklenburg County (704) 355-8816
KATHY SHARON SHIELDS CNM
Advanced Practice Midwife
1025 MOREHEAD MEDICAL DR, STE 400
CHARLOTTE, NC 28204
Mecklenburg County (704) 446-1700
ROBERT THOMAS YAVORSKI JR.
Internal Medicine (Gastroenterology)
1025 MOREHEAD MEDICAL DR, 3RD FLOOR
CHARLOTTE, NC 28204
Mecklenburg County (704) 355-4593
PAUL DOMINICK COLAVITA MD
Surgery
1025 MOREHEAD MEDICAL DR, STE 300
CHARLOTTE, NC 28204
Mecklenburg County (704) 355-1813

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 Shwetha Mallesara Sudhakar's NPI number?

The NPI number for Shwetha Mallesara Sudhakar is 1245461243. It was assigned to this individual provider in the NPPES registry on August 7, 2009.

Where is Shwetha Mallesara Sudhakar located?

Shwetha Mallesara Sudhakar practices at 1025 Morehead Medical Dr Suite 500, Charlotte, NC 28204. The listed phone number is (704) 446-2320.

What is Shwetha Mallesara Sudhakar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Shwetha Mallesara Sudhakar enrolled in Medicare?

Yes. Shwetha Mallesara Sudhakar 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.

What insurance does Shwetha Mallesara Sudhakar accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 3 other insurers list Shwetha Mallesara Sudhakar 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 Shwetha Mallesara Sudhakar affiliated with any hospitals?

According to CMS data, Shwetha Mallesara Sudhakar is affiliated with Atrium Health Cleveland, Atrium Health Pineville and Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Shwetha Mallesara Sudhakar was last updated on February 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.