SHAILESH MANANDHAR M.D.
NPI 1679005409
Pediatrics in Elon, NC

Q: What is Shailesh Manandhar's NPI number?

The NPI number for Shailesh Manandhar is 1679005409. It was assigned to this individual provider in the NPPES registry on March 30, 2017.

Q: What is Shailesh Manandhar's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since March 30, 2017PECOS Enrolled

812 W HAGGARD AVE, ELON, NC 27244(336) 449-4030(336) 449-5315 Get Directions Write a Review

NPPES record last updated: November 8, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 8, 2022, Dec 10, 2020, Aug 3, 2020 and 1 more (4 updates tracked since 2017).

On this page

About Shailesh Manandhar M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAILESH MANANDHAR M.D. (NPI 1679005409) is an individual pediatrics provider in Elon, North Carolina, licensed in North Carolina (2020-03574) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1679005409

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameSHAILESH MANANDHARCredential: M.D.

Location Address812 W HAGGARD AVEElon, NC 27244-9134

Mailing AddressPo Box 986513Boston, MA 02298-6513 · (910) 219-8310

Phone(336) 449-4030

Fax(336) 449-5315

Sole ProprietorNo

Enumeration DateMarch 30, 2017

Last NPPES UpdateNovember 8, 20224 updates tracked since enumeration

NPPES CertifiedNovember 8, 2022

✔ NPI 1679005409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NC · 2020-03574

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

812 W HAGGARD AVE, Elon, NC 27244

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1120 Memorial DrJacksonville, NC 28546-6328 · Phone (910) 353-0581 · Fax (910) 353-1351

Location 2118 Memorial DrJacksonville, NC 28546-6328 · Phone (910) 353-0581 · Fax (910) 577-1150

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shailesh Manandhar M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Shailesh Manandhar reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Amm Healthcare, PA

49 mi

Family Medicine

530 NEW WAVERLY PL STE 101
Cary, NC 27518

Reassigned Medicare billing, North Carolina enrollment
5 clinicians in this Medicare group

NPI 1528639689 (919) 650-6066

Jacksonville Children's And Multispecialty Clinic, PA

152 mi

Family Medicine

118 MEMORIAL DR
Jacksonville, NC 28546

Reassigned Medicare billing, North Carolina enrollment
61 clinicians in this Medicare group

NPI 1164519070 (910) 353-0581

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27244 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SUSAN KIMBERLY ZIGLAR MD

Family Medicine

812 W HAGGARD AVE
ELON, NC 27244

Alamance County (336) 449-4030

ALAMANCE FAMILY PRACTICE, PA

Family Medicine

812 W HAGGARD AVE
ELON, NC 27244

Alamance County (336) 449-4030

MS. ANNAMARIA FOLKERTS PAC

Physician Assistant

812 W HAGGARD AVE
ELON, NC 27244

Alamance County (336) 449-4030

ALEXANDER C CHAVEZ M.D.

Family Medicine

812 W HAGGARD AVE
ELON, NC 27244

Alamance County (336) 449-4030

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 Shailesh Manandhar's NPI number?

The NPI number for Shailesh Manandhar is 1679005409. It was assigned to this individual provider in the NPPES registry on March 30, 2017.

Where is Shailesh Manandhar located?

Shailesh Manandhar practices at 812 W Haggard Ave, Elon, NC 27244. The listed phone number is (336) 449-4030.

What is Shailesh Manandhar's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Shailesh Manandhar enrolled in Medicare?

Yes. Shailesh Manandhar is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shailesh Manandhar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shailesh Manandhar reassigns Medicare benefits to 2 organizations: Amm Healthcare, PA (Cary, NC) and Jacksonville Children's And Multispecialty Clinic, PA (Jacksonville, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shailesh Manandhar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shailesh Manandhar accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next and 2 other insurers list Shailesh Manandhar 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.

When was this NPI record last updated?

The NPPES record for Shailesh Manandhar was last updated on November 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.