Nibedita Mohanty, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101045978 Issued in VA

Practice address

422 Garrisonville Rd
Suite 108
Stafford, VA 22554-1573

Phone

(540) 658-9340

Fax

(540) 658-9344

NPI assigned

May 16, 2006

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

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.

• Internal Medicine of Stafford

  • Internal Medicine Physician
  • Stafford, VA
  • NPI 1972538817
  NPD (past) Authorized official
• James M Desimone

  • Internal Medicine Physician
  • Alexandria, VA
  • NPI 1790953149
  NPD (past)
• Stafford Internal Medical Services, Inc.

  • Internal Medicine Physician
  • Stafford, VA
  • NPI 1801838529
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197849600000",
    "number": "1801847413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 GARRISONVILLE RD",
            "address_2": "SUITE 108",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225541573",
            "telephone_number": "540-658-9340",
            "fax_number": "540-658-9344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 GARRISONVILLE RD",
            "address_2": "SUITE 108",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225541573",
            "telephone_number": "540-658-9340",
            "fax_number": "540-658-9344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHANTY",
        "first_name": "NIBEDITA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2007-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101045978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Moazzami, LCSW
• Ashley Channelle Modesto
• Denise Moeller, MS, OTR/L
• Sahar Mohammad Sadiq
• Sohaeb Mohammad, PA
• Julia Kaye Mohn, M.A, CCC-SLP
• Allyson Bailey Molina, LPC
• Maximilian Moloko
• Jonathan Phillip Money, ATC, LAT
• Monica Dickenson

• Internal Medicine Physician in Stafford, VA
• Providers in Stafford, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.