Active NPI
Anuj Manandhar, MD
- General Practice Physician
- Fayetteville, NC
National Provider Identifier
1144803453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 2022-02192
- Practice address
- 1638 Owen Dr
Fayetteville, NC 28304-3424 - Phone
- (910) 615-4000
- NPI assigned
- May 4, 2021
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2022-02192 | NC | |
| General Practice Physician | 208D00000X | 2022-02192 | NC | Primary |
Addresses
Primary practice location
1638 Owen Dr
Fayetteville, NC 28304-3424
Mailing address
353 Bahama Loop
Fayetteville, NC 28314-1711
Phone (281) 701-2512
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022-02192 | NC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vpa of Texas PLLC | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | General Practice | Current | Accepting new patients |
| Vpa of Texas PLLC | Internal Medicine | Current | Accepting new patients |
Locations
555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511
Organizations & group practices 3
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.
-
- Clinical Social Worker
- San Antonio, TX
- NPI 1578175865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662940800000",
"number": "1144803453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "353 BAHAMA LOOP",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283141711",
"telephone_number": "281-701-2512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1638 OWEN DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043424",
"telephone_number": "910-615-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANANDHAR",
"first_name": "ANUJ",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-04",
"last_updated": "2022-09-12",
"certification_date": "2022-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2022-02192",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NC",
"license": "2022-02192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.