Active NPI
Sanniya Nanda, MD
- Pediatrics Physician
- Fayetteville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 202000252
- Practice address
- 1327 Robeson St
Fayetteville, NC 28305-5531 - Phone
- (910) 486-5437
- NPI assigned
- Jun 7, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 202000252 | NC | Primary |
Addresses
Primary practice location
1327 Robeson St
Fayetteville, NC 28305-5531
Mailing address
937 Liberty LN
Fayetteville, NC 28311-3073
Phone (919) 397-2421
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
203 E 4TH Ave
Ranson, WV 25438-1617
PO Box
Suite 780
Morgantown, WV 26507-0780
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202000252 | NC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rainbow Pediatrics of Fayetteville | Single Specialty | Current | Accepting new patients |
| West Virginia University Medical Corporation | Single Specialty | Current | Accepting new patients |
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| Rainbow Pediatrics | Single Specialty | Past | Accepting new patients |
Locations
1327 Robeson St
Fayetteville, NC 28305
Phone (910) 486-5437
341 S McPherson Church Rd
Fayetteville, NC 28303
Phone (910) 920-4428
4469 S Main St
Hope Mills, NC 28348
Phone (910) 426-5430
142 Paraclete Dr
Ste 102
Raeford, NC 28376
1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500
203 E 4th Ave
Ranson, WV 25438
Phone (304) 535-6343
Interoperability endpoints
- sanniyananda@rpf.allscriptsdirect.net
Organizations & group practices 4
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
- Morgantown, WV
- NPI 1275504508
Single Specialty
-
- Pediatrics Physician
- Fayetteville, NC
- NPI 1356439566
Single Specialty
-
- Community/Behavioral Health Agency
- Martinsburg, WV
- NPI 1174233530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644883200000",
"number": "1710416490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "937 LIBERTY LN",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283113073",
"telephone_number": "919-397-2421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1327 ROBESON ST",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283055531",
"telephone_number": "910-486-5437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NANDA",
"first_name": "SANNIYA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-07",
"last_updated": "2022-02-15",
"certification_date": "2022-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "NC",
"license": "202000252",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.