Manindra N Ghosh, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

042-0004510 Issued in VT

Practice address

194 North St Ste 7
Bennington, VT 05201-1874

Phone

(802) 681-7985

Fax

(802) 753-7097

NPI assigned

Jun 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Southwestern Vermont Medical Center, Inc

  • Orthopaedic Surgery Physician
  • Bennington, VT
  • NPI 1487930632
  NPD (past)

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1477598738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 NORTH STREET",
            "address_2": "STE 7",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052011874",
            "telephone_number": "802-681-7985",
            "fax_number": "802-753-7097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 NORTH ST STE 7",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052011874",
            "telephone_number": "802-681-7985",
            "fax_number": "802-753-7097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Bennington",
            "state": "VT",
            "postal_code": "052015002",
            "country_code": "US",
            "telephone_number": "802-447-5087",
            "fax_number": "802-447-4537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHOSH",
        "first_name": "MANINDRA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "VT",
            "license": "042-0004510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0004420",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynn Galey, MA
• Lee Anne Gallagher, LICSW
• Taylor Ganier
• Genoa Healthcare LLC
• Marie J George, MD
• Lorenzo Gillette
• Leslie Glazer, PH.D. LMHC
• Tonia Goddard, PTA
• Cynthia Gogan, LCMHC
• Alix Goldschmidt, LICSW

• Allergy & Immunology Physician in Bennington, VT
• Providers in Bennington, VT by specialty
• Allergy & Immunology Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.

Verify at the official NPI Registry.