Individual provider Active NPI

Murali Dhara Pisharody, MD

  • Family Medicine Physician
  • Sanford, NC
National Provider Identifier
1265632996
Registry record updated Jan 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
135447 Issued in NC
Practice address
555 Carthage St
Sanford, NC 27330-4104
Phone
(919) 774-6518
Fax
(919) 774-1831
NPI assigned
Jul 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 135447 NC Primary

Addresses

Primary practice location

555 Carthage St
Sanford, NC 27330-4104

Mailing address

205 Page Rd
Pinehurst, NC 28374-8798
Phone (919) 774-6518

Other practice location 1

555 Carthage St
Sanford, NC 27330-4104
Phone (919) 774-6518

Other identifiers 4

IdentifierTypeStateIssuer
FH1100710OtherNCFIRSTCAROLINACARE
P00829221OtherPALMETTO GBA/RR MEDICARE
5914545MedicaidNC
153V7OtherNCBC/BS NC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090805000822 NC Practitioner - Family Practice 4183777386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pinehurst Medical Clinic IncGroup PAC ID 5991617169, 162 clinicians

Practice addresses (Care Compare)

8 Regional Cir
Pinehurst, NC 28374-9796
Phone (910) 215-5555

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
135447NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinehurst Medical Clinic, Inc. Family Medicine CurrentSince May 1, 2010 Accepting new patients
Pinehurst Medical Clinic, Inc. CurrentSince May 1, 2010 Accepting new patients
Pinehurst Medical Clinic, Inc. Past Accepting new patients

Locations

205 Page Rd
Pinehurst, NC 28374
Phone (910) 295-9211

8 Regional Cir
Pinehurst, NC 28374
Phone (910) 215-5555

1411 Greenway Ct
Sanford, NC 27330
Phone (919) 292-1878

555 Carthage St
Sanford, NC 27330
Phone (919) 774-6518

Interoperability endpoints

  • Direct secure messaging: muralipisharody@phmc.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516665600000",
    "number": "1265632996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 PAGE RD",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748798",
            "telephone_number": "919-774-6518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 CARTHAGE ST",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273304104",
            "telephone_number": "919-774-6518",
            "fax_number": "919-774-1831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 Carthage St",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "NC",
            "postal_code": "273304104",
            "country_code": "US",
            "telephone_number": "919-774-6518",
            "fax_number": "919-774-1831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PISHARODY",
        "first_name": "MURALI",
        "middle_name": "DHARA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-20",
        "last_updated": "2018-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "135447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTCAROLINACARE",
            "identifier": "FH1100710",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA/RR MEDICARE",
            "identifier": "P00829221",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5914545",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS NC",
            "identifier": "153V7",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, NC

Sources for this page

Verify at the official NPI Registry.