NILESH ISHWARLAL LODHIA MD
NPI 1922264654
Internal Medicine - Gastroenterology in Charlotte, NC

Active since August 01, 2008PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1025 MOREHEAD MEDICAL DR, STE 300, CHARLOTTE, NC 28204(704) 355-4593 Get Directions Write a Review

NPPES record last updated: August 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 8, 2025, Jul 15, 2024, May 4, 2023 and 56 more (59 updates tracked since 2018).

About Nilesh Ishwarlal Lodhia Md NPPES

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

NILESH ISHWARLAL LODHIA MD (NPI 1922264654) is an individual gastroenterology provider in Charlotte, North Carolina, licensed in North Carolina (2018-00325) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1922264654
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameNILESH ISHWARLAL LODHIACredential: MD
Location Address1025 MOREHEAD MEDICAL DR, STE 300Charlotte, NC 28204-2963
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateAugust 1, 2008
Last NPPES UpdateAugust 8, 202559 updates tracked since enumeration
NPPES CertifiedAugust 8, 2025
NPI 1922264654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in NC · 2018-00325
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.
1025 MOREHEAD MEDICAL DR, Charlotte, NC 28204

Secondary Practice Locations 4

Location 11225 Harding Pl, Ste 5100Charlotte, NC 28204-2826 · Phone (704) 355-8850
Location 210650 Park Rd, Ste 480Charlotte, NC 28210-8538 · Phone (704) 667-0520
Location 3441 McAlister RdLincolnton, NC 28092-4126 · Phone (980) 212-4000
Location 41585 Forney Creek Pkwy, Ste 2350Denver, NC 28037-9514 · Phone (980) 212-4000

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

Nilesh Ishwarlal Lodhia 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 ID6305906702
PECOS Enrollment IDI20180613002528
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 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.
68 services40 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.
47 services47 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
24 services24 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.
18 services18 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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, 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 University City

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340166
Location8800 North Tyron StreetCharlotte, NC 28262 · 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 11

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

Ostomy skin barrier, powder, per oz A4371
DME-Orthotic Devices · category DF010N
2 suppliers14 claims14 services$3.53 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
1 supplier11 claims220 services$4.93 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
1 supplier11 claims164 services$2.46 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
1 supplier11 claims220 services$7.95 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425
DME-Orthotic Devices · category DF010N
2 suppliers17 claims320 services$3.25 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
2 suppliers14 claims425 services$0.22 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.

Orthopaedic Surgery
1025 MOREHEAD MEDICAL DR, STE 300
CHARLOTTE, NC 28204
Obstetrics & Gynecology
1025 MOREHEAD MEDICAL DR, STE 450
CHARLOTTE, NC 28204
Surgery
1025 MOREHEAD MEDICAL DR, STE 300
CHARLOTTE, NC 28204
Obstetrics & Gynecology
1025 MOREHEAD MEDICAL DR, STE 400
CHARLOTTE, NC 28204
Surgery
1025 MOREHEAD MEDICAL DR, SUITE 600
CHARLOTTE, NC 28204
Advanced Practice Midwife
1025 MOREHEAD MEDICAL DR, STE 400
CHARLOTTE, NC 28204
Internal Medicine (Gastroenterology)
1025 MOREHEAD MEDICAL DR, 3RD FLOOR
CHARLOTTE, NC 28204
Surgery
1025 MOREHEAD MEDICAL DR, STE 300
CHARLOTTE, NC 28204

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 Nilesh Lodhia's NPI number?

The NPI number for Nilesh Lodhia is 1922264654. It was assigned to this individual provider in the NPPES registry on August 1, 2008.

Where is Nilesh Lodhia located?

Nilesh Lodhia practices at 1025 Morehead Medical Dr Ste 300, Charlotte, NC 28204. The listed phone number is (704) 355-4593.

What is Nilesh Lodhia's specialty?

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

Is Nilesh Lodhia enrolled in Medicare?

Yes. Nilesh Lodhia 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 Nilesh Lodhia accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc and 1 other insurer list Nilesh Lodhia 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 Nilesh Lodhia affiliated with any hospitals?

According to CMS data, Nilesh Lodhia is affiliated with Carolinas Medical Center/Behav Health and Atrium Health University City.

When was this NPI record last updated?

The NPPES record for Nilesh Lodhia was last updated on August 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.