Vijaysinha Mandhare, MD

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

2008-00275 Issued in NC

Practice address

3801 Wake Forest Rd Ste 210
Raleigh, NC 27609-6864

Phone

(919) 787-7246

Fax

(919) 787-7247

NPI assigned

May 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Dr. Vijay Mandhare Other name

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

Anesthesiology

Education

Louisiana State University School of Medicine in New Orleans, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Wake Spine and Pain Specialists PCGroup PAC ID 2860543097, 31 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vijay.mandhare@wsps.eclinicaldirectplus.com

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.

• Wake Spine & Pain Specialists PC

  • Pain Medicine (Anesthesiology) Physician
  • Cary, NC
  • NPI 1568696748
  Medicare reassignment Care Compare group NPD
• Wake Spine and Pain Specialists, PC

  • Pain Medicine (Anesthesiology) Physician
  • Winston Salem, NC
  • NPI 1376287714
  NPD Authorized official
• Wake Spine and Pain Specialists, PC

  • Pain Medicine (Anesthesiology) Physician
  • Greenville, NC
  • NPI 1730823170
  NPD (past) Authorized official
• Integrated Interventional Pain Management P.C.

  • Interventional Pain Medicine Physician
  • Tempe, AZ
  • NPI 1447417928
  NPD (past)
• Sound Anesthesia, LLP

  • Anesthesiology Physician
  • Federal Way, WA
  • NPI 1588679351
  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1891905287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 WAKE FOREST RD STE 210",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096864",
            "telephone_number": "919-787-7246",
            "fax_number": "919-787-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 WAKE FOREST RD STE 210",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096864",
            "telephone_number": "919-787-7246",
            "fax_number": "919-787-7247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3001 Edwards Mill Rd",
            "address_2": "Suite 203",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276125243",
            "country_code": "US",
            "telephone_number": "919-787-7246",
            "fax_number": "919-787-7247",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 Timber Dr E Ste 105",
            "address_purpose": "LOCATION",
            "city": "Garner",
            "state": "NC",
            "postal_code": "275294689",
            "country_code": "US",
            "telephone_number": "919-787-7246",
            "fax_number": "919-787-7247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANDHARE",
        "first_name": "VIJAYSINHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NC",
            "license": "2008-00275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5910579",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00759335",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP PTAN",
            "identifier": "DP4614",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIJAY",
            "last_name": "MANDHARE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gianna Mancini
• Kelsey Leigh Mancini, LAT, ATC
• Kelly Mandara
• Marcia Anne Mandel, PH.D.
• Samantha Jill Mandel, DO
• Alexia Maneschi, PSY.D.
• Srilatha Mangalam, MA
• Margaret Louise Mangan, RDN
• Charles A Mangano Jr., M.D.
• Kimberly Gray Mangum, MOT, OTR/L

• Pain Medicine (Anesthesiology) Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Pain Medicine (Anesthesiology) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; 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.