Individual provider Active NPI

Mansi Patel, DPM

  • Foot & Ankle Surgery Podiatrist
  • Sanford, NC
National Provider Identifier
1609302850
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
849 Issued in NC
Practice address
821 S Horner Blvd
Sanford, NC 27330
Phone
(919) 292-1610
NPI assigned
May 10, 2017
Last updated
Oct 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00352000 NJ
Foot & Ankle Surgery Podiatrist 213ES0103X SC007070 PA
Foot & Ankle Surgery Podiatrist 213ES0103X 849 NC Primary

Addresses

Primary practice location

821 S Horner Blvd
Sanford, NC 27330

Mailing address

2345 Field Poppy Drive
Apex, NC 27502-7176

Other practice location 1

1505 W Sherman Ave
Vineland, NJ 08360-7059
Phone (856) 641-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200421000159 PA Practitioner - Podiatry 2062842743 Reassigns benefits to 1 organization
I20241015003374 NC Practitioner - Podiatry 2062842743 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pedirite Medical PA PLLCGroup PAC ID 9830521913, 9 clinicians
Healthdrive Podiatry Group NC, PCGroup PAC ID 5597172924, 9 clinicians
Premier Foot and Ankle PLLCGroup PAC ID 5395059869, 4 clinicians

Practice addresses (Care Compare)

1300 Don Juan Rd
Hertford, NC 27944-9340
Phone (212) 734-6621

5960 Fairview Rd
Suite 300
Charlotte, NC 28210-0202
Phone (888) 964-6681

821 S Horner Blvd
Sanford, NC 27330-5359
Phone (919) 292-1610

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue2136
Removal or shaving of skin growth194

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
849NCMDFoot & Ankle Surgery Podiatrist
25MD00352000NJMDFoot & Ankle Surgery Podiatrist
SC007070PAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthdrive Podiatry Group NC, PC CurrentSince Nov 18, 2024 Accepting new patients
Premier Foot & Ankle PLLC Foot & Ankle Surgery CurrentSince Sep 1, 2024 Accepting new patients
Einstein Podiatry Associates LLC Foot & Ankle Surgery CurrentSince Sep 4, 2022 Accepting new patients
R K Rettig Podiatry Associates Foot & Ankle Surgery CurrentSince Apr 16, 2020 Accepting new patients
Pedirite Medical PA PLLC CurrentSince Jan 15, 2022 Accepting new patients

Locations

5960 Fairview Rd
Ste 300
Charlotte, NC 28210
Phone (704) 441-8715

1300 Don Juan Rd
Hertford, NC 27944
Phone (252) 426-4066

821 S Horner Blvd
Sanford, NC 27330
Phone (919) 292-1610

1410 Plaza Dr
Winston Salem, NC 27103
Phone (336) 765-1881

267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877

313 W County Line Rd
Hatboro, PA 19040
Phone (215) 674-5005

1335 W Tabor Rd
Ste 206
Philadelphia, PA 19141
Phone (215) 927-2837

Interoperability endpoints

  • Direct secure messaging: mpatelpfaa2@pfaap-nc.direct.office.nextgen.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1494374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1609302850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 FIELD POPPY DRIVE",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275027176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 S HORNER BLVD",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "27330",
            "telephone_number": "919-292-1610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1505 W Sherman Ave",
            "address_purpose": "LOCATION",
            "city": "Vineland",
            "state": "NJ",
            "postal_code": "083607059",
            "country_code": "US",
            "telephone_number": "856-641-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MANSI",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-10",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00352000",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC007070",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, NC

Sources for this page

Verify at the official NPI Registry.