Organization Active NPI

Manmohan Singh MD PA

  • Surgery Physician
  • Smithfield, NC
National Provider Identifier
1164643441
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
17900 Issued in NC
Legal business name
MANMOHAN SINGH MD PA
Practice address
713 North Street
Smithfield, NC 27577
Phone
(919) 934-2626
Fax
(919) 934-5424
NPI assigned
May 2, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jyoti Singh, OFFICE MANAGER
Title
Sec
Phone
(919) 934-2616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 17900 NC Primary

Addresses

Primary practice location

713 North Street
Smithfield, NC 27577

Mailing address

PO Box 1196
713 North St
Smithfield, NC 27577
Phone (919) 934-2626

Other identifiers 2

IdentifierTypeStateIssuer
8976547MedicaidNC
76547OtherNCBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100223000747 NC Part B Supplier - Clinic/Group Practice 1052455433 Receives reassigned benefits from 1 practitioner
Practice locations: Smithfield, NC; Wilson, NC

National Provider Directory

National Provider Directory

Locations

713 North St
Smithfield, NC 27577
Phone (919) 934-2616

1701 Medical Park Dr W
Wilson, NC 27893
Phone (252) 399-5302

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164643441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1196",
            "address_2": "713 NORTH ST",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "27577",
            "telephone_number": "919-934-2626",
            "fax_number": "919-934-5424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 NORTH STREET",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "27577",
            "telephone_number": "919-934-2626",
            "fax_number": "919-934-5424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANMOHAN SINGH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "JYOTI",
        "authorized_official_title_or_position": "SEC",
        "authorized_official_telephone_number": "919-934-2616",
        "authorized_official_credential": "OFFICE MANAGER"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "17900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8976547",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "76547",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithfield, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.