DR. MANISHA BALHARA MD
NPI 1457594079
Hospitalist in Fargo, ND
About Dr. Manisha Balhara Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MANISHA BALHARA MD (NPI 1457594079) is an individual hospitalist provider in Fargo, North Dakota, licensed in North Dakota (14113) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS, is affiliated with Essentia Health St Marys - Detroit Lakes, and is a graduate of Other (1994).
NPPES Registry Identity
Specialties & Licenses 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Manisha Balhara Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims 6
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Essentia Health St Marys - Detroit Lakes
Acute Care Hospitals · Detroit Lakes, MNRiverview Hospital
Critical Access Hospitals · Crookston, MNPrairie Ridge Hospital And Health Services
Critical Access Hospitals · Elbow Lake, MNSanford Medical Center Fargo
Acute Care Hospitals · Fargo, NDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 58122 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Manisha Balhara's NPI number?
The NPI number for Manisha Balhara is 1457594079. It was assigned to this individual provider in the NPPES registry on April 13, 2009.
Where is Manisha Balhara located?
Manisha Balhara practices at 2400 32nd Avenue S, Fargo, ND 58122. The listed phone number is (701) 234-8820.
What is Manisha Balhara's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Manisha Balhara enrolled in Medicare?
Yes. Manisha Balhara is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Manisha Balhara accept?
Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Manisha Balhara as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Manisha Balhara affiliated with any hospitals?
According to CMS data, Manisha Balhara is affiliated with Essentia Health St Marys - Detroit Lakes, Riverview Hospital, Prairie Ridge Hospital And Health Services and Sanford Medical Center Fargo.
When was this NPI record last updated?
The NPPES record for Manisha Balhara was last updated on April 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Manisha Balhara, MD · NPI 1457594079
Hospitalist physician in Fargo, North Dakota. Individual provider, active in the CMS NPPES registry since April 13, 2009.
## Identity
- **NPI:** 1457594079 (Entity type: Individual)
- **Enumerated:** April 13, 2009
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 14113 (North Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 2400 32ND AVENUE S, Fargo, ND 58122
- **Phone:** (701) 234-8820
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 1994
## Record status
- **NPPES last updated:** April 4, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1457594079) · Data from the CMS NPPES public registry.