GAUTAM MUKUND PHADKE M.D.
NPI 1396997649
Internal Medicine - Nephrology in Monroe, NC

Active since October 17, 2008PECOS EnrolledAccepts Medicare Assignment
1640 CAMPUS PARK DR STE C, MONROE, NC 28112(704) 226-0366(704) 226-9535 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 2, 2025, Jul 7, 2023, Mar 15, 2021 and 1 more (4 updates tracked since 2021).

About Gautam Mukund Phadke M.d. NPPES

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

GAUTAM MUKUND PHADKE M.D. (NPI 1396997649) is an individual nephrology provider in Monroe, North Carolina, licensed in North Carolina (2019-01383) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS, is affiliated with Atrium Health Cleveland, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1396997649
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameGAUTAM MUKUND PHADKECredential: M.D.
Location Address1640 CAMPUS PARK DR STE CMonroe, NC 28112-5284
Mailing Address3158 Freedom Dr Ste 3102Charlotte, NC 28208-0014 · (704) 971-7099 · Fax (704) 971-0035
Fax(704) 226-9535
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateOctober 17, 2008
Last NPPES UpdateApril 2, 20254 updates tracked since enumeration
NPPES CertifiedApril 2, 2025
NPI 1396997649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses Licensed in NC · 2019-01383 Licensed in ND · 11322 Licensed in MO · 2009006929
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License RL10218 (ND)
1640 CAMPUS PARK DR STE C, Monroe, NC 28112

Accepted 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

Gautam Mukund Phadke M.d. 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 ID2567631062
PECOS Enrollment IDI20191217002269
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 28

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
856 services347 patients
Kidney function blood test panel 80069
A kidney function blood test panel checks how well your kidneys are working. It measures levels of various substances in your blood, including proteins, electrolytes, and waste products. The results can help detect potential kidney issues early.
806 services340 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
689 services291 patients
Tacrolimus level 80197
A Tacrolimus level test measures the amount of Tacrolimus, a medication used to prevent organ rejection after a transplant, in your blood. The test ensures the drug is working effectively and not causing harmful side effects. Regular monitoring is essential for your health.
632 services235 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.
295 services201 patients
Creatinine level to test for kidney function or muscle injury 82570
A creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.
278 services181 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

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

Atrium Health Union

Acute Care Hospitals · Monroe, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340130
Location600 Hospital DrMonroe, NC 28112 · Union County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28112 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.

Referred Medical Equipment & Supplies CMS DME claims 9

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

Azathioprine, oral, 50 mg J7500
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers25 claims1,788 services$1.12 avg. paid by Medicare
Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503
Treatment-Chemotherapy · category RH002N
19 suppliers231 claims138,450 services$1.19 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
24 suppliers233 claims34,558 services$0.29 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
12 suppliers176 claims37,275 services$0.01 avg. paid by Medicare
Cyclosporine, oral, 25 mg J7515
Treatment-Treatment - Miscellaneous · category RX029N
7 suppliers44 claims8,910 services$0.57 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
18 suppliers218 claims40,440 services$0.18 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 7

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

Nurse Practitioner
1640 CAMPUS PARK DR STE C
MONROE, NC 28112
Nurse Practitioner (Family)
1640 CAMPUS PARK DR STE C
MONROE, NC 28112
Internal Medicine (Nephrology)
1640 CAMPUS PARK DR STE C
MONROE, NC 28112
Nurse Practitioner (Adult Health)
1640 CAMPUS PARK DR STE C
MONROE, NC 28112
Nurse Practitioner
1640 CAMPUS PARK DR STE C
MONROE, NC 28112
Internal Medicine (Nephrology)
1640 CAMPUS PARK DR STE C
MONROE, NC 28112
Nurse Practitioner
1640 CAMPUS PARK DR STE C
MONROE, NC 28112

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 Gautam Phadke's NPI number?

The NPI number for Gautam Phadke is 1396997649. It was assigned to this individual provider in the NPPES registry on October 17, 2008.

Where is Gautam Phadke located?

Gautam Phadke practices at 1640 Campus Park Dr Ste C, Monroe, NC 28112. The listed phone number is (704) 226-0366.

What is Gautam Phadke's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Gautam Phadke enrolled in Medicare?

Yes. Gautam Phadke 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 Gautam Phadke accept?

Health plans from Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina, InStil Health, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Gautam Phadke 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 Gautam Phadke affiliated with any hospitals?

According to CMS data, Gautam Phadke is affiliated with Atrium Health Cleveland, Carolinas Medical Center/Behav Health and Atrium Health Union.

When was this NPI record last updated?

The NPPES record for Gautam Phadke was last updated on April 2, 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.