Individual provider Active NPI

Daniel Rohan Phadke, MD

  • Diagnostic Radiology Physician
  • Charlotte, NC
National Provider Identifier
1972130698
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2025-00394 Issued in NC
Practice address
3623 Latrobe Dr Ste 216
Charlotte, NC 28211-2117
Phone
(704) 332-1291
NPI assigned
Mar 24, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X PHY103143 MA
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 2025-00394 NC Primary

Addresses

Primary practice location

3623 Latrobe Dr Ste 216
Charlotte, NC 28211-2117

Mailing address

PO Box 221249
Charlotte, NC 28222-1249
Phone (704) 332-1291

Other practice location 1

1215 Lee St
Charlottesville, VA 22908-0816
Phone (434) 924-2150

Other practice location 2

55 Fruit St
Boston, MA 02114-2621
Phone (617) 726-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, PA, NC3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20250520000179 MA Practitioner - Diagnostic Radiology 1153744164 Reassigns benefits to 4 organizations
I20260223003919 PA Practitioner - Diagnostic Radiology 1153744164 Reassigns benefits to 1 organization
I20260515003670 NC Practitioner - Diagnostic Radiology 1153744164

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Virginia School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mecklenburg Radiology Associates PAGroup PAC ID 6800789587, 95 clinicians
Lancaster Radiology Associates LTDGroup PAC ID 0648267526, 53 clinicians

Practice addresses (Care Compare)

165 Main St
Unit 1803
Cambridge, MA 02142-1573
Phone (704) 332-1291

3623 Latrobe Dr
Suite 216
Charlotte, NC 28211-2117
Phone (704) 332-1291

555 N Duke St
Lancaster, PA 17602-2250
Phone (717) 544-4900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PHY103143MAMDDiagnostic Radiology Physician
2025-00394NCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Massachusetts General Physicians Organization Inc Diagnostic Radiology CurrentSince Jun 1, 2025 Accepting new patients
Mecklenburg Radiology Associates, P.a. Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
General Hospital Corp Current Accepting new patients
Lancaster Radiology Associates, LTD. Diagnostic Radiology CurrentSince Apr 13, 2026 Accepting new patients
The General Hospital Corporation CurrentSince Jun 1, 2025 Accepting new patients

Locations (25 of 28)

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

55 Fruit St
Boston, MA 02114

62 13th St
Charlestown, MA 02129
Phone (617) 724-4260

3623 Latrobe Dr
Ste 216
Charlotte, NC 28211
Phone (704) 926-1827

306 N 7th St
Columbia, PA 17512
Phone (717) 684-1500

424 Cloverleaf Rd
Elizabethtown, PA 17022
Phone (717) 291-1016

432 Cloverleaf Rd
Elizabethtown, PA 17022
Phone (717) 314-2618

895 E Main St
Ephrata, PA 17522
Phone (717) 721-4585

538 N Queen St
Lancaster, PA 17603
Phone (267) 886-6609

900 E King St
Lancaster, PA 17602
Phone (717) 293-7279

560 N Lime St
Lancaster, PA 17602
Phone (717) 241-1016

2118 Spring Valley Rd
Lancaster, PA 17601
Phone (215) 615-2222

675 Good Dr
Lancaster, PA 17601
Phone (717) 406-3000

690 Good Dr
Lancaster, PA 17601
Phone (717) 544-0700

540 N Duke St
Lancaster, PA 17602
Phone (717) 544-4950

555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945

2100 Harrisburg Pike
Lancaster, PA 17601
Phone (717) 544-3030

333 Harrisburg Ave
Lancaster, PA 17603
Phone (717) 740-4100

1671 Crooked Oak Dr
Lancaster, PA 17601
Phone (717) 569-5331

1520 Harrisburg Pike
Lancaster, PA 17601
Phone (717) 393-1301

1701 Cornwall Rd
Lebanon, PA 17042
Phone (717) 675-1750

1001 E Oregon Rd
Lititz, PA 17543
Phone (717) 569-3271

51 Peters Rd
Lititz, PA 17543
Phone (717) 627-2400

600 E Main St
Lititz, PA 17543
Phone (717) 626-1171

546 N Penryn Rd
Manheim, PA 17545
Phone (717) 544-8075

Interoperability endpoints

  • Direct secure messaging: phadke.daniel.mgh@direct.partners.masshiway.net
  • Direct secure messaging: dphadke317598@direct.healthsystem.virginia.edu

Organizations & group practices 5

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.

Hospital & facility affiliations 10

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": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1972130698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 221249",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282221249",
            "telephone_number": "704-332-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3623 LATROBE DR STE 216",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282112117",
            "telephone_number": "704-332-1291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 Lee St",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229080816",
            "country_code": "US",
            "telephone_number": "434-924-2150",
            "fax_number": "434-924-6805",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Fruit St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021142621",
            "country_code": "US",
            "telephone_number": "617-726-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHADKE",
        "first_name": "DANIEL",
        "middle_name": "ROHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-24",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "PHY103143",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2025-00394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.