Individual provider Active NPI

Yeshwant Gopal Phadke, M.D.

  • Surgery Physician
  • Indiana, PA
National Provider Identifier
1659359560
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD037054-L Issued in PA
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0011030020001MedicaidPA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110526000054 PA Practitioner - General SurgeryPractitioner - Other (Physician) 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

ProcedureNumber of procedures
Varicose vein removal167

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD037054-LPAMDSurgery Physician

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.