Active NPI
Manisha Balhara, MD
- Hospitalist Physician
- Fargo, ND
National Provider Identifier
1457594079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 14113
- Practice address
- 2400 32ND Avenue S
Fargo, ND 58122 - Phone
- (701) 234-8820
- NPI assigned
- Apr 13, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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.
-
- Family Medicine Physician
- West Fargo, ND
- NPI 1184917924
Internal Medicine, ND
-
- General Acute Care Hospital
- Fargo, ND
- NPI 1528009412
Hospital & facility affiliations 18
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Fergus Falls, MN
- NPI 1285525436
Hospital
-
- Multi-Specialty Clinic/Center
- Thief River Falls, MN
- NPI 1740473800
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sanford Medical Center Fargo
Practice addresses (Care Compare)
2400 32ND Ave S
Fargo, ND 58103-5800
Phone (701) 234-2000
Hospital & facility affiliations
- Sanford Medical Center Fargo
- Essentia Health St Marys - Detroit Lakes
- Prairie Ridge Hospital and Health Services
- Riverview Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.73 of 100
- Quality
- 71.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.68
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160805000804 | ND | Practitioner - Hospitalist | 5496901001 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8490 | SD | MD | Internal Medicine Physician |
| 14113 | ND | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Medical Center Fargo | Internal Medicine | Current | Accepting new patients |
| Sanford Medical Center Fargo | Current | Accepting new patients |
Locations
2400 32nd Ave S
Fargo, ND 58103
Phone (701) 234-8800
1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445
701 3rd Ave S
Clear Lake, SD 57226
Phone (605) 874-2141
Interoperability endpoints
- mbalhara2782238@direct.sanfordhealth.org
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 8490 | SD | |
| Internal Medicine Physician | 207R00000X | 8490 | SD | |
| Hospitalist Physician | 208M00000X | 14113 | ND | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2400 32ND Avenue S
Fargo, ND 58122
Mailing address
2815 Pyle LN E
West Fargo, ND 58078-5441
Phone (605) 290-9461
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mbalhara2782238@direct.sanfordhealth.org |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 4, 2022.
{
"created_epoch": "1239580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649030400000",
"number": "1457594079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2815 PYLE LN E",
"city": "WEST FARGO",
"state": "ND",
"postal_code": "580785441",
"telephone_number": "605-290-9461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 32ND AVENUE S",
"city": "FARGO",
"state": "ND",
"postal_code": "58122",
"telephone_number": "701-234-8820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALHARA",
"first_name": "MANISHA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-13",
"last_updated": "2022-04-04",
"certification_date": "2022-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "SD",
"license": "8490",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SD",
"license": "8490",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "ND",
"license": "14113",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mbalhara2782238@direct.sanfordhealth.org",
"affiliation": "N",
"address_1": "2400 32nd Avenue S",
"city": "Fargo",
"state": "ND",
"country_code": "US",
"postal_code": "58122",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.