Active NPI
Yeshwant Gopal Phadke, M.D.
- Surgery Physician
- Indiana, PA
National Provider Identifier
1659359560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD037054-L
- Practice address
- 1265 Wayne Ave
Suite 106
Indiana, PA 15701-3501 - Phone
- (724) 349-6677
- Fax
- (724) 349-6678
- NPI assigned
- Jan 3, 2006
- Last updated
- Jul 20, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD037054-L | PA | Primary |
| Phlebology Physician | 202K00000X | MD037054L | PA |
Addresses
Primary practice location
1265 Wayne Ave
Suite 106
Indiana, PA 15701-3501
Mailing address
1265 Wayne Ave
Suite 106
Indiana, PA 15701-3501
Phone (724) 349-6677
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0011030020001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110526000054 | PA | Practitioner - General Surgery | 0941486021 | Practice locations: Indiana, PA |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1265 Wayne Ave
Suite 106
Indiana, PA 15701-3501
1265 Wayne Avenue
Indiana, PA 15701-3501
Phone (724) 349-6677
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 167 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD037054-L | PA | MD | Surgery Physician |
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Indiana, PA
- NPI 1356334510
-
- Rural Acute Care Hospital
- Indiana, PA
- NPI 1508047630
-
- Rural Acute Care Hospital
- Indiana, PA
- NPI 1659315372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784505600000",
"number": "1659359560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1265 WAYNE AVE",
"address_2": "SUITE 106",
"city": "INDIANA",
"state": "PA",
"postal_code": "157013501",
"telephone_number": "724-349-6677",
"fax_number": "724-349-6678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1265 WAYNE AVE",
"address_2": "SUITE 106",
"city": "INDIANA",
"state": "PA",
"postal_code": "157013501",
"telephone_number": "724-349-6677",
"fax_number": "724-349-6678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHADKE",
"first_name": "YESHWANT",
"middle_name": "GOPAL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-03",
"last_updated": "2026-07-20",
"certification_date": "2026-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD037054-L",
"primary": true
},
{
"code": "202K00000X",
"taxonomy_group": "",
"desc": "Phlebology",
"state": "PA",
"license": "MD037054L",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0011030020001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indiana, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.