NPI Details
DR. Manindra N Ghosh, MD is an allergy immunology in Bennington, VT with 60 years of experience. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. DR. Manindra N Ghosh, MD NPI is 1477598738. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
194 NORTH ST STE 7
BENNINGTON, VT
ZIP 05201-874
Phone: (802) 681-7985
Fax: (802) 753-7097
The NPI 1477598738 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The CLIA number assigned to this NPI record is 47D0090742 - physician office with a certificate type of Certificate of Waiver.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Professional service for preparation and provision of 1 or more antigens (HCPCS:95165)
- Test for allergy using allergenic extract (HCPCS:95004)
- Professional service for multiple injections of allergen (HCPCS:95117)
- Telephone medical discussion with physician, 21-30 minutes (HCPCS:99443)
The enumeration date for this NPI number is 6/19/2006 and was last updated on 5/25/2021.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207K00000X | Allergy & Immunology | | 042-0004510 | VERMONT | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 0004420 | MEDICAID | VERMONT | |
