Deepa Melanie Etikala, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · High Point, NC
NPI 1669961843 · NPPES record last updated Nov 15, 2022
Key facts
- NPI
- 1669961843
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 2022-02495 (NC)
- Practice address
- 306 Westwood Ave Ste 501
High Point, NC 27262-4342 - Phone
- (256) 698-7888
- NPI assigned
- May 3, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 18
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Novant Health Medical Group, LLC
Practice addresses (Care Compare)
14330 Oakhill Park LN
Suite 200
Huntersville, NC 28078-3407
Phone (704) 316-4830
1955 S US 29 Hwy
China Grove, NC 28023-5684
Phone (704) 855-7611
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220929001133 | NC | Practitioner - Obstetrics/Gynecology | 0143606004 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Obstetrics & Gynecology | Current |
Accepting new patients |
| Novant Health Medical Group, LLC | Obstetrics & Gynecology | Current |
Accepting new patients |
| Novant Health Medical Group, LLC | Obstetrics & Gynecology | Current |
Accepting new patients |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Past | Accepting new patients |
Locations
12611 N Community House Rd
Ste 200
Charlotte, NC 28277
Phone (704) 731-1014
325 Hawthorne Ln
Ste 200
Charlotte, NC 28204
Phone (704) 334-0802
14215 Ballantyne Corporate Pl
Ste 110
Charlotte, NC 28277
Phone (704) 384-1620
5933 Blakeney Park Dr
Ste 100
Charlotte, NC 28277
Phone (704) 316-2021
10905 Providence Rd W
Ste 260
Charlotte, NC 28277
Phone (704) 542-0744
1718 E 4th St
Ste 907
Charlotte, NC 28204
Phone (704) 372-4000
8201 Healthcare Loop
Ste 302
Charlotte, NC 28215
Phone (704) 316-2319
1918 Randolph Rd
Ste 670
Charlotte, NC 28207
Phone (704) 334-9535
8820 Rachel Freeman Way
Charlotte, NC 28278
Phone (704) 316-3608
6324 Fairview Rd
Ste 430
Charlotte, NC 28210
Phone (704) 316-3148
6324 Fairview Rd
Ste 200
Charlotte, NC 28210
Phone (704) 316-5070
15825 Ballantyne Medical Pl
Ste 200
Charlotte, NC 28277
Phone (704) 384-1925
2711 Randolph Rd
Ste 512
Charlotte, NC 28207
Phone (704) 333-4101
1955 S US 29 Hwy
China Grove, NC 28023
Phone (704) 855-7611
9955 Poplar Tent Rd
Concord, NC 28027
Phone (704) 316-1161
17810 Statesville Rd
Ste 321
Cornelius, NC 28031
Phone (704) 895-5394
6555 Kee Ln
Ste 200
Harrisburg, NC 28075
Phone (704) 316-2319
14330 Oakhill Park Ln
Ste 200
Huntersville, NC 28078
Phone (704) 316-1265
9930 Kincey Ave
Ste 360
Huntersville, NC 28078
14330 Oakhill Park Ln
Ste 100
Huntersville, NC 28078
1450 Matthews Township Pkwy
Ste 200
Matthews, NC 28105
Phone (704) 246-1846
1450 Matthews Township Pkwy
Ste 300
Matthews, NC 28105
Phone (704) 316-6860
911 W Henderson St
Ste 300
Salisbury, NC 28144
Phone (704) 636-9270
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
Interoperability endpoints
- detikala1590379@direct.novanthealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Obstetrics & Gynecology Physician | 207V00000X | 2022-02495 | NC | Yes |
Addresses
Primary practice location
306 Westwood Ave Ste 501
High Point, NC 27262-4342
Mailing address
100 Kimel Forest Dr
Winston Salem, NC 27103-6074
Phone (336) 716-1331
Other providers in High Point, NC
- Eric J Hartzell DMD PA
- Scott David Erikson
- Myla P Erwin
- Maribel Escalante Vasquez
- Jessica Escobar Lopez
- Amy H Eubanks
- Charles Francis Eurillo
- Evan B. Arthur & Chelsea H. Arthur DMD PA
- Cheri Jeannette Evans
- Katrina Evans
All providers in High Point, NC · Obstetrics & Gynecology Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.