Active NPI
Mahesh Prabhaker Sardesai, M.D.
- Anesthesiology Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 2018-01388
- Practice address
- 10628 Park Rd
Charlotte, NC 28210-8407 - Phone
- (704) 667-1000
- NPI assigned
- Nov 25, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 036-116004 | IL | |
| Anesthesiology Physician | 207L00000X | 42940 | KY | |
| Anesthesiology Physician | 207L00000X | MD443008 | PA | |
| Anesthesiology Physician | 207L00000X | 2018-01388 | NC | Primary |
Addresses
Primary practice location
10628 Park Rd
Charlotte, NC 28210-8407
Mailing address
6135 Park South Dr Ste 510
Charlotte, NC 28210-0100
Phone (704) 749-3116
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100071780 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Chicago, Pritzker School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 355-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-116004 | IL | MD | Anesthesiology Physician |
| 42940 | KY | MD | Anesthesiology Physician |
| 2018-01388 | NC | MD | Anesthesiology Physician |
| MD443008 | PA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Pittsburgh Physicians | Anesthesiology | Current | Accepting new patients |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| CHS Anesthesia Services Group Inc | Anesthesiology | Current | Accepting new patients |
| University of Pittsburgh Physicians | Current | Accepting new patients |
Locations
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
10628 Park Rd
Charlotte, NC 28210
Phone (704) 543-2000
815 Freeport Rd
Pittsburgh, PA 15215
Phone (412) 784-4000
5230 Centre Ave
Ste 205
Shadyside, PA 15232
Phone (412) 623-2167
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Charlotte, NC
- NPI 1346649415
-
- Gastroenterology Physician
- Pittsburgh, PA
- NPI 1619935004
-
- Anesthesiology Physician
- Pittsburgh, PA
- NPI 1033125455
-
- Diagnostic Radiology Physician
- Pittsburgh, PA
- NPI 1285692699
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1417432840
-
- Rehabilitation Hospital Unit
- Charlotte, NC
- NPI 1962987131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727049600000",
"number": "1467633057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6135 PARK SOUTH DR STE 510",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282100100",
"telephone_number": "704-749-3116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10628 PARK RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282108407",
"telephone_number": "704-667-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARDESAI",
"first_name": "MAHESH",
"middle_name": "PRABHAKER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-25",
"last_updated": "2024-09-23",
"certification_date": "2024-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "036-116004",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "KY",
"license": "42940",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PA",
"license": "MD443008",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NC",
"license": "2018-01388",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100071780",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.