Individual provider Active NPI

Sanghamitra Mishra Chowdhury, M.D.

  • Psychiatry Physician
  • Greensboro, NC
National Provider Identifier
1295770063
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2019-01356 Issued in NC
Practice address
510 N Elam Ave Ste 301
Greensboro, NC 27403-1142
Phone
(336) 832-9800
Fax
(336) 832-1369
NPI assigned
Jun 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 0101234226 VA
Psychiatry Physician 2084P0800X 2019-01356 NC Primary
Child & Adolescent Psychiatry Physician 2084P0804X 2019-01356 NC
Child & Adolescent Psychiatry Physician 2084P0804X 36464 AZ

Addresses

Primary practice location

510 N Elam Ave Ste 301
Greensboro, NC 27403-1142

Mailing address

4747 N 7TH St Ste 100
Phoenix, AZ 85014-3654
Phone (602) 279-7655

Other practice location 1

880 N Colorado St
Gilbert, AZ 85233-3419
Phone (480) 820-0825

Other identifiers 1

IdentifierTypeStateIssuer
266135MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, 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
I20071102000551 AZ Practitioner - Psychiatry 2264449313 Reassigns benefits to 1 organization
I20260508002318 NC Practitioner - Psychiatry 2264449313 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1984
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

300 E Wendover Ave
Attn Payor Enrollment 2ND Floor
Greensboro, NC 27401-1221

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2019-01356NCMDPsychiatry Physician
0101234226VAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family & Children'S Service Current Accepting new patients
Jewish Family & Children'S Service CurrentSince Feb 24, 2017 Accepting new patients
Jewish Family & Children'S Service CurrentSince Feb 24, 2017 Accepting new patients
St Lukes Behavioral Hospital LP Past Accepting new patients

Locations

880 N Colorado St
Gilbert, AZ 85233
Phone (480) 820-0825

5701 W Talavi Blvd
Ste 180
Glendale, AZ 85306
Phone (623) 486-8082

1255 W Baseline Rd
Ste B258
Mesa, AZ 85202
Phone 4808200825 ext. 11110

1840 N 95th Ave
Ste 160
Phoenix, AZ 85037
Phone (623) 234-9811

4747 N 7th St
Ste 100
Phoenix, AZ 85014
Phone (602) 279-7655

3001 N 33rd Ave
Phoenix, AZ 85017
Phone (602) 353-0703

2033 N 7th St
Phoenix, AZ 85006
Phone (602) 257-9314

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1295770063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 N 7TH ST STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850143654",
            "telephone_number": "602-279-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 N ELAM AVE STE 301",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031142",
            "telephone_number": "336-832-9800",
            "fax_number": "336-832-1369"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "880 N Colorado St",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852333419",
            "country_code": "US",
            "telephone_number": "480-820-0825",
            "fax_number": "480-820-7863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOWDHURY",
        "first_name": "SANGHAMITRA",
        "middle_name": "MISHRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-17",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "VA",
            "license": "0101234226",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2019-01356",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NC",
            "license": "2019-01356",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "AZ",
            "license": "36464",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266135",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.