SHARDUL MANHAR GADHIA MD
NPI 1801229604
Hospitalist in Lincolnton, NC
About Shardul Manhar Gadhia Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHARDUL MANHAR GADHIA MD (NPI 1801229604) is an individual hospitalist provider in Lincolnton, North Carolina, licensed in North Carolina (2020-00662) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and maintains 4 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 4
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
Shardul Manhar Gadhia 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.
Medicare Billing Reassignments
11Medicare enrollment records show Shardul Gadhia reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lincolnton, NC 28092
- Reassigned Medicare billing, North Carolina enrollment
- 1,646 clinicians in this Medicare group
Troy, NC 27371
- Reassigned Medicare billing, North Carolina enrollment
- 333 clinicians in this Medicare group
Greensboro, NC 27407
- Reassigned Medicare billing, North Carolina enrollment
- 691 clinicians in this Medicare group
Columbia, SC 29212
- Reassigned Medicare billing, South Carolina enrollment
- 1,466 clinicians in this Medicare group
Rochester, NY 14624
- Reassigned Medicare billing, New York enrollment
- 203 clinicians in this Medicare group
Rochester, NY 14624
- Reassigned Medicare billing, New York enrollment
- 185 clinicians in this Medicare group
East Patchogue, NY 11772
- Reassigned Medicare billing, New York enrollment
- 640 clinicians in this Medicare group
Liverpool, NY 13088
- Reassigned Medicare billing, New York enrollment
- 625 clinicians in this Medicare group
Troy, NY 12180
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: St Joseph's Physician Health PC
- 304 clinicians in this Medicare group
Plattsburgh, NY 12901
- Reassigned Medicare billing, New York enrollment
- 675 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 4
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Carolinas Medical Center/Behav Health
Acute Care Hospitals · Charlotte, NCAtrium Health Lincoln
Acute Care Hospitals · Lincolnton, NCPrisma Health Richland Hospital
Acute Care Hospitals · Columbia, SCPrisma Health Tuomey Hospital
Acute Care Hospitals · Sumter, SCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28092 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LINCOLNTON, NC 28092
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 Shardul Gadhia's NPI number?
The NPI number for Shardul Gadhia is 1801229604. It was assigned to this individual provider in the NPPES registry on August 15, 2013.
Where is Shardul Gadhia located?
Shardul Gadhia practices at 433 Mcalister Rd, Lincolnton, NC 28092. The listed phone number is (704) 574-4746.
What is Shardul Gadhia's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Shardul Gadhia enrolled in Medicare?
Yes. Shardul Gadhia 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 Shardul Gadhia's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shardul Gadhia reassigns Medicare benefits to 11 organizations: Carolinas Physicians Network Inc (Lincolnton, NC), Fhpg, LLC (Troy, NC), Moses Cone Physician Services, Inc. (Greensboro, NC), Prisma Health Medical Group-Midlands (Columbia, SC), Delphi Healthcare PLLC (Rochester, NY) and 6 more organizations, listed in the Medicare section above. 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 Shardul Gadhia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shardul Gadhia accept?
Health plans from Oscar Health Plan of North Carolina, Inc list Shardul Gadhia 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 Shardul Gadhia affiliated with any hospitals?
According to CMS data, Shardul Gadhia is affiliated with Carolinas Medical Center/Behav Health, Atrium Health Lincoln, Prisma Health Richland Hospital and Prisma Health Tuomey Hospital.
When was this NPI record last updated?
The NPPES record for Shardul Gadhia was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Shardul Manhar Gadhia, MD · NPI 1801229604
Hospitalist physician in Lincolnton, North Carolina. Individual provider, active in the CMS NPPES registry since August 15, 2013.
## Identity
- **NPI:** 1801229604 (Entity type: Individual)
- **Enumerated:** August 15, 2013
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 2020-00662 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 433 MCALISTER RD, Lincolnton, NC 28092-4147
- **Phone:** (704) 574-4746
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 11 organizations under Medicare reassignment (form CMS-855R): Carolinas Physicians Network Inc (NPI 1003104183, Lincolnton, NC); Fhpg, LLC (NPI 1952830432, Troy, NC); Moses Cone Physician Services, Inc. (NPI 1528664596, Greensboro, NC); Prisma Health Medical Group-Midlands (NPI 1003307166, Columbia, SC); Delphi Healthcare PLLC (NPI 1003075029, Rochester, NY); and 6 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** July 15, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1801229604) · Data from the CMS NPPES public registry.