Manish Amrish Fozdar, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

9800535 Issued in NC

Practice address

4700 Falls of Neuse Rd
Suite 250
Raleigh, NC 27609-6200

Phone

(919) 322-1954

Fax

(919) 322-1955

NPI assigned

Jun 27, 2005

Last updated

Aug 19, 2013By the provider in NPPES

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

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

Specialty

Psychiatry

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FDCBCA/Endpoint/FDCBCA

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.

• Triangle Forensic Neuropsychiatry, PLLC

  • Psychiatry Physician
  • Raleigh, NC
  • NPI 1073858080
  Medicare reassignment NPD Authorized official
• Wakemed Faculty Practice Plan

  dba WakeMed Faculty Physicians - Pediatric Hospitalists/Intensivists

  • Pediatric Critical Care Medicine Physician
  • Raleigh, NC
  • NPI 1013203819
  NPD (past)
• Wakemed Faculty Practice Plan

  dba WakeMed Faculty Physicians

  • Surgery Physician
  • Raleigh, NC
  • NPI 1396791786

  Psychiatry

  NPD (past)
• Community Memorial Hospital

  • Clinical Medical Laboratory
  • South Hill, VA
  • NPI 1265226120
  NPD (past)
• Community Memorial Hospital

  • Hospitalist Physician
  • South Hill, VA
  • NPI 1891014015
  NPD (past)
• Southside Behavioral Health

  • Community/Behavioral Health Agency
  • Clarksville, VA
  • NPI 1700890761

  Psychiatry

  NPD (past)

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376870400000",
    "number": "1497751143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 CHILMARK AVE",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275875334",
            "telephone_number": "919-322-1954",
            "fax_number": "919-322-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 FALLS OF NEUSE RD",
            "address_2": "SUITE 250",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096200",
            "telephone_number": "919-322-1954",
            "fax_number": "919-322-1955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOZDAR",
        "first_name": "MANISH",
        "middle_name": "AMRISH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2013-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "9800535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shalise Alexandra Fox
• Lisa Gooding Foxworth, CRNA
• Richard Foxworth
• Gabreyl Foxx
• Jodi H Foy, D.D.S.
• Sasha J Fradin, M.A.
• Heather Nicole Franasiak, CRNA
• Christine Annmarie Francis, APRN
• Heather Harris Francis, LCSW
• Issac Johnathon Francis, CRNA,MSN

• Psychiatry Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; 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.

Verify at the official NPI Registry.