Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gautam Mukund Phadke, MD

Individual provider Nephrology Physician · NPI 1396997649

Gautam Mukund Phadke, MD is a Nephrology in Monroe, North Carolina. Qualified in 2001, 25 years ago. Practices with Carolinas Medical Center, a 1,062-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri, North Carolina and North Dakota.

Years since qualifying
25
Licensed in
MO, NC, ND
In the registry since
2008
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1640 Campus Park Dr Ste C
Monroe, NC 28112-5284
Phone: (704) 226-0366
Fax: (704) 226-9535
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 2019-01383 (NC)
Nephrology Physician Taxonomy 207RN0300X · Licence 11322 (ND)
Nephrology Physician Taxonomy 207RN0300X · Licence 2009006929 (MO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence RL10218 (ND)

Record details

NPI number1396997649
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 17, 2008
Last updated in NPPESApril 2, 2025
Certification dateApril 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Carolinas Medical Center — 1062 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Monroe