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

Individual provider Internal Medicine Physician · NPI 1245259365

Rodolfo Bautista Ganzon, MD is a Hospitalist in Matthews, North Carolina. Qualified in 1988, 38 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
38
Licensed in
NC
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1500 Matthews Township Pkwy
Matthews, NC 28105-4656
Phone: (704) 384-9740
Fax: (704) 384-9565
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 Hawthorne Ln, Charlotte, NC 28204-2515 — (704) 384-5416

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 200100871 (NC)
Internal Medicine Physician Taxonomy 207R00000X · Licence 200100871 (NC)

Record details

NPI number1245259365
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 19, 2006
Last updated in NPPESOctober 25, 2020
Certification dateSeptember 6, 2020

Medicare enrollment

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

Medicare specialtyHOSPITALIST
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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