Individual provider Active NPI

Pawan Damodhar Sarda, M.D.

  • Cardiovascular Disease Physician
  • Monroe, NC
National Provider Identifier
1063720993
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2022-01039 Issued in NC
Practice address
1640 E Roosevelt Blvd
Monroe, NC 28112-4017
Phone
(704) 226-0500
Fax
(704) 226-0599
NPI assigned
Sep 14, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 258620 NY
Cardiovascular Disease Physician 207RC0000X 258620 NY
Cardiovascular Disease Physician 207RC0000X 036136434 IL
Cardiovascular Disease Physician 207RC0000X 2022-01039 NC Primary

Addresses

Primary practice location

1640 E Roosevelt Blvd
Monroe, NC 28112-4017

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 226-0500

Other practice location 1

112 NE Crescent Ave
Peoria, IL 61606-1901
Phone (309) 672-4670

Other identifiers 1

IdentifierTypeStateIssuer
036136434OtherILLICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address psarda1046361@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141229001078 IL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5890018758 Reassigns benefits to 2 organizations
I20220527001678 NC Practitioner - Cardiovascular Disease (Cardiology) 5890018758 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2003
Medicare assignment
May accept Medicare assignment
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, shared by 14 NPIs, 2,413 clinicians
Novant Health Matthews Medical Center LLCGroup PAC ID 6406845247, 76 clinicians
The Presbyterian HospitalGroup PAC ID 1153231907, 412 clinicians

Practice addresses (Care Compare)

125 Queens Rd
Suite 330
Charlotte, NC 28204-3215
Phone (704) 384-5043

1401 Matthews Township Pkwy
Suite 212And312
Matthews, NC 28105-5402
Phone (704) 316-3131

1500 Matthews Township Pkwy
Matthews, NC 28105-4656
Phone (704) 384-6500

1640 E Roosevelt Blvd
Monroe, NC 28112-4017
Phone (704) 226-0500

Hospital & facility affiliations

  • Novant Health Presbyterian Medical Center Hospital, Charlotte, NC, CCN 340053
  • Novant Health Matthews Medical Center Hospital, Matthews, NC, CCN 340171
  • Atrium Health Union Hospital, Monroe, NC, CCN 340130
  • Novant Health Mint Hill Medical Center Hospital, Charlotte, NC, CCN 340190
  • Novant Health Ballantyne Medical Center Hospital, Charlotte, NC, CCN 340195

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
258620NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Proctor Health Systems CurrentSince Oct 20, 2014 Accepting new patients
The Presbyterian Hospital Cardiovascular Disease CurrentSince May 1, 2022 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Oct 20, 2014 Accepting new patients
Novant Health Mint Hill Medical Center, LLC CurrentSince Aug 1, 2022 Accepting new patients
The Presbyterian Hospital Internal Medicine Current Accepting new patients
Novant Health Matthews Medical Center LLC CurrentSince Aug 1, 2022 Accepting new patients
Proctor Health Systems CurrentSince Oct 20, 2014 Accepting new patients
Methodist Medical Center of Illinois Internal Medicine CurrentSince Oct 20, 2014 Accepting new patients
Proctor Health Systems Internal Medicine Current Accepting new patients
Novant Health Medical Group, LLC Cardiovascular Disease CurrentSince May 1, 2022 Accepting new patients
The Presbyterian Hospital Internal Medicine CurrentSince May 1, 2022 Accepting new patients
Novant Health Ballantyne Medical Center LLC CurrentSince Sep 19, 2023 Accepting new patients
Novant Health Medical Group, LLC Cardiovascular Disease CurrentSince May 1, 2022 Accepting new patients
Methodist Medical Center of Illinois Current Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince May 1, 2022 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients
Novant Medical Group, Inc. Cardiovascular Disease Past Accepting new patients

Locations (25 of 30)

1506 W Garfield Ave
Bartonville, IL 61607
Phone (309) 697-2416

815 Main St
Ste A1
Peoria, IL 61602

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986

5401 N Knoxville Ave
Ste 400
Peoria, IL 61614
Phone (309) 691-6610

112 NE Crescent Ave
Peoria, IL 61606
Phone (309) 680-2402

125 Baldwin Ave
Ste 200
Charlotte, NC 28204
Phone (704) 384-5043

2225 Freedom Dr
Charlotte, NC 28208
Phone (704) 316-5166

335 N Caswell Rd
Charlotte, NC 28204
Phone (704) 384-7390

8201 Healthcare Loop
Charlotte, NC 28215
Phone (980) 302-1000

6324 Fairview Rd
Ste 330
Charlotte, NC 28210
Phone (704) 316-1950

8201 Healthcare Loop
Ste 201
Charlotte, NC 28215
Phone (704) 316-3024

2701 Statesville Ave
Charlotte, NC 28206
Phone (704) 384-0500

301 Hawthorne Ln
Ste 200
Charlotte, NC 28204
Phone (704) 316-5100

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

125 Queens Rd
Ste 250
Charlotte, NC 28204
Phone (704) 316-2340

125 Queens Rd
Ste 200
Charlotte, NC 28204

15830 Ballantyne Medical Pl
Ste 275
Charlotte, NC 28277
Phone (980) 302-8659

14035 Grandiflora Dr
Charlotte, NC 28278
Phone (704) 316-1074

10905 Providence Rd W
Charlotte, NC 28277
Phone (980) 488-4000

125 Queens Rd
Ste 330
Charlotte, NC 28204
Phone (704) 384-5043

125 Queens Rd
Charlotte, NC 28204
Phone (980) 302-6380

1226 Eastchester Dr
#100
High Point, NC 27265
Phone (336) 481-8540

10030 Gilead Rd
Huntersville, NC 28078
Phone (704) 316-4000

9930 Kincey Ave
Ste 200
Huntersville, NC 28078
Phone (704) 887-4530

Interoperability endpoints

  • Direct secure messaging: psarda1046361@direct.novanthealth.org

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 19

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1063720993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "704-226-0500",
            "fax_number": "704-226-0599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 E ROOSEVELT BLVD",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281124017",
            "telephone_number": "704-226-0500",
            "fax_number": "704-226-0599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 NE Crescent Ave",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "IL",
            "postal_code": "616061901",
            "country_code": "US",
            "telephone_number": "309-672-4670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SARDA",
        "first_name": "PAWAN",
        "middle_name": "DAMODHAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-14",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "258620",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "258620",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036136434",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "2022-01039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "036136434",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "psarda1046361@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "1640 E Roosevelt Blvd",
            "city": "Monroe",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281124017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

Verify at the official NPI Registry.