Individual provider Active NPI

Gangadhar Rao Malasana, MD

  • Cardiovascular Disease Physician
  • Matthews, NC
National Provider Identifier
1891948014
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2023-01564 Issued in NC
Practice address
1401 Matthews Township Pkwy Ste 110
Matthews, NC 28105-5403
Phone
(704) 316-3131
NPI assigned
Oct 31, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 2023-01564 NC Primary
Interventional Cardiology Physician 207RI0011X 036138196 IL
Cardiovascular Disease Physician 207RC0000X 036138196 IL

Addresses

Primary practice location

1401 Matthews Township Pkwy Ste 110
Matthews, NC 28105-5403

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

1900 State St
Chester, IL 62233-1116
Phone (618) 529-4455

Other practice location 2

3905 W Ernestine Dr
Marion, IL 62959-5800
Phone (618) 529-4455

Other practice location 3

409 W Oak St
Carbondale, IL 62901-1464
Phone (618) 529-4455

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address gmalasana13932@sih.direct-ci.com
Direct Messaging Address gmalasana13932@sih.direct-ci.com
Direct Messaging Address gmalasana13932@sih.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, 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
I20230727002903 SC Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 9335456219 Reassigns benefits to 1 organization
I20251220000029 NC Practitioner - Cardiovascular Disease (Cardiology) 9335456219 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Cardiology Associates LLCGroup PAC ID 3577451756, 16 clinicians

Practice addresses (Care Compare)

196 Cardiology Dr
Rock Hill, SC 29732-1174
Phone (803) 324-5135

Hospital & facility affiliations

  • Piedmont Medical Center Hospital, Rock Hill, SC, CCN 420002
  • Novant Health Presbyterian Medical Center Hospital, Charlotte, NC, CCN 340053
  • Novant Health Matthews Medical Center Hospital, Matthews, NC, CCN 340171

Merit-based Incentive Payment System (MIPS)

Final score
84.12 of 100Reported as group
Quality
79.31
Promoting interoperability
85
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2023-01564NCMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Presbyterian Hospital CurrentSince Dec 1, 2025 Accepting new patients
Novant Health Medical Group, LLC Cardiovascular Disease CurrentSince Dec 1, 2025 Accepting new patients
Novant Health Medical Group, LLC Cardiovascular Disease CurrentSince Dec 1, 2025 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Dec 1, 2025 Accepting new patients
The Presbyterian Hospital Cardiovascular Disease CurrentSince Dec 1, 2025 Accepting new patients
Carolina Cardiology Associates LLC Cardiovascular Disease CurrentSince Aug 1, 2023 Accepting new patients
Novant Medical Group, Inc. Cardiovascular Disease Past Accepting new patients

Locations

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

125 Queens Rd
Ste 200
Charlotte, NC 28204

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

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

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

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

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

1401 Matthews Township Pkwy
Ste 110
Matthews, NC 28105
Phone (704) 264-3500

1401 Matthews Township Pkwy
Ste 100
Matthews, NC 28105
Phone (704) 384-1080

1401 Matthews Township Pkwy
Ste 212312
Matthews, NC 28105
Phone (704) 316-3131

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

986 Wellness Way
Fort Mill, SC 29715

901 W Meeting St
Ste 205
Lancaster, SC 29720
Phone (803) 285-8080

196 Cardiology Dr
Rock Hill, SC 29732
Phone (803) 324-5135

Interoperability endpoints

  • Direct secure messaging: malasana.gangadhar.p1@direct.cca.nextgenshare.com

Organizations & group practices 13

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 13

Hospital & facility affiliations 6

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": "1225411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1891948014",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MATTHEWS TOWNSHIP PKWY STE 110",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055403",
            "telephone_number": "704-316-3131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 State St",
            "address_purpose": "LOCATION",
            "city": "Chester",
            "state": "IL",
            "postal_code": "622331116",
            "country_code": "US",
            "telephone_number": "618-529-4455",
            "fax_number": "618-351-1287",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3905 W Ernestine Dr",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "IL",
            "postal_code": "629595800",
            "country_code": "US",
            "telephone_number": "618-529-4455",
            "fax_number": "618-351-1287",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "409 W Oak St",
            "address_purpose": "LOCATION",
            "city": "Carbondale",
            "state": "IL",
            "postal_code": "629011464",
            "country_code": "US",
            "telephone_number": "618-529-4455",
            "fax_number": "618-351-1287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALASANA",
        "first_name": "GANGADHAR",
        "middle_name": "RAO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-31",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "2023-01564",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036138196",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036138196",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gmalasana13932@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "1900 State St",
            "city": "Chester",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622331116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gmalasana13932@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "3905 W Ernestine Dr",
            "city": "Marion",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629595800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gmalasana13932@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "409 W Oak St",
            "city": "Carbondale",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629011464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

Verify at the official NPI Registry.