Individual provider Active NPI

Manisha Ghimire, M.D

  • Hospitalist Physician
  • Raleigh, NC
National Provider Identifier
1629410386
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
2019-00110 Issued in NC
Practice address
3000 New Bern Ave
Raleigh, NC 27610-1231
Phone
(919) 350-6835
NPI assigned
Jul 23, 2013
Last updated
Feb 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Internal Medicine Physician 207R00000X D0081430 MD
Hospitalist Physician 208M00000X D81430 MD
Hospitalist Physician 208M00000X 2019-00110 NC Primary

Addresses

Primary practice location

3000 New Bern Ave
Raleigh, NC 27610-1231

Mailing address

2920 Highwoods Blvd
Raleigh, NC 27604-0010
Phone (877) 498-4490

Other practice location 1

8600 Old Georgetown Rd.
Johns Hopkins Community Physicians at Suburban Hospital
Bethesda, MD 20814
Phone (301) 896-2627

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mghimire261661@directHISP.wakemed.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, NC, CA, PA, TX, NY, NJ, HI, FL, VA, MO, MI, MA, WA, OH, CO, DE, WY, GA19 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 19

Enrollment IDStateProvider typePAC IDDetails
I20160915001687 DC Practitioner - Internal MedicinePractitioner - Hospitalist 3173819216 Reassigns benefits to 1 organization
I20191021002067 NC Practitioner - Internal MedicinePractitioner - Hospitalist 3173819216 Reassigns benefits to 3 organizations
I20240517001279 CA Practitioner - Internal Medicine 3173819216 Reassigns benefits to 1 organization
I20240925000812 PA Practitioner - Internal Medicine 3173819216
I20240925002543 TX Practitioner - Internal Medicine 3173819216
I20241001000149 NY Practitioner - Internal Medicine 3173819216
I20241003002579 NJ Practitioner - Internal Medicine 3173819216
I20241010003024 HI Practitioner - Internal Medicine 3173819216
I20241016002059 FL Practitioner - Internal Medicine 3173819216
I20241112001404 VA Practitioner - Internal Medicine 3173819216 Reassigns benefits to 1 organization
I20241113003540 MO Practitioner - Internal Medicine 3173819216 Reassigns benefits to 1 organization
I20241113004460 MI Practitioner - Internal Medicine 3173819216
I20241115002357 MA Practitioner - Internal Medicine 3173819216 Reassigns benefits to 1 organization
I20241203003698 WA Practitioner - Internal Medicine 3173819216 Reassigns benefits to 1 organization
I20241210002902 OH Practitioner - Internal Medicine 3173819216
I20250312003023 CO Practitioner - Internal Medicine 3173819216 Reassigns benefits to 1 organization
I20250314000500 DE Practitioner - Internal Medicine 3173819216
I20250320003132 WY Practitioner - Internal Medicine 3173819216 Reassigns benefits to 1 organization
I20250320003596 GA Practitioner - Internal Medicine 3173819216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geniemd Medical Group Mo PCGroup PAC ID 5193190072, 24 clinicians

Practice addresses (Care Compare)

1111 Broadway
Suite 300
Oakland, CA 94607-4167
Phone (925) 460-9191

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0081430MDMDInternal Medicine Physician
D81430MDMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wakemed Specialists Group LLC CurrentSince Sep 9, 2019 Accepting new patients
Duke University Health System, Inc. Internal Medicine Current Accepting new patients
Duke University Health System, Inc. CurrentSince Dec 3, 2019 Accepting new patients
Duke University Health System, Inc. Internal Medicine CurrentSince Dec 3, 2019 Accepting new patients
Wakemed Specialists Group, LLC Current Accepting new patients
Geniemd Medical Group, Mo, P.C. Internal Medicine CurrentSince May 1, 2024 Accepting new patients
Wakemed Specialists Group, LLC Internal Medicine CurrentSince Sep 9, 2019 Accepting new patients

Locations

1111 Broadway
Ste 300
Oakland, CA 94607
Phone (281) 948-8014

6612 Owens Dr
Pleasanton, CA 94588
Phone (928) 460-9191

2920 Highwoods Blvd
Raleigh, NC 27604

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

3400 Wake Forest Rd
Raleigh, NC 27609
Phone (919) 954-3000

Interoperability endpoints

  • Direct secure messaging: mghimire261661@directhisp.wakemed.org

Organizations & group practices 8

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": "1374537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1629410386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 HIGHWOODS BLVD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276040010",
            "telephone_number": "877-498-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 NEW BERN AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101231",
            "telephone_number": "919-350-6835"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8600 Old Georgetown Rd.",
            "address_2": "Johns Hopkins Community Physicians at Suburban Hospital",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "20814",
            "country_code": "US",
            "telephone_number": "301-896-2627",
            "fax_number": "301-896-2393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHIMIRE",
        "first_name": "MANISHA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-23",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0081430",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MD",
            "license": "D81430",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NC",
            "license": "2019-00110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mghimire261661@directHISP.wakemed.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "XML",
            "address_1": "3000 New Bern Ave",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276101231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.